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Name E-mail
Address Telephone
City St ZipCode Country
  Birth Information
Date of Birth
Time of Birth
AM PM
ST DT
Place of Birth
  Your Computer System
Make
Model
Monitor Color Mono
Hard Disk Size
MB Floppy Drives 5-1/4 3.5 360K 720K
(ADD $15 for Low density diskettes)
  qty Your Order
PathFinder for Windows $195
PathFinder Plus for Windows $249
Personal Astrology Calendar for PathFinder $50
Fertility for PathFinder $50
  Printer
Epson Compatible 9 pin
Epson Compatible 24 pin
HP laser or Compatible
Other
  Credit Card Information
Type
Cardholder Name
Number
Expiration Date

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