WHITEFLY Knowledgebase Order Form


Complete this form and mail it with your check or money order to:

Formedia, Inc.
448 West 16th Street
3rd Floor
New Yok, NY 10011, USA
(212)675-6444 (voice mail)
(212)675-9006 (fax)
E-mail: 76124.2407@compuserve.com



Name: __________________________________________________________________________________

Company: __________________________________________________________________________________

Address: ______________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

City, State, Zip: ______________________________________________________________

Day Phone: ______________________________


Cost of WHITEFLY is $30, which includes diskettes, and printed documentation in a 7"×9" binder. Shipping and handling within the United States is $5. Call or e-mail for international shipping, special handling, or multiple orders.

  1. WHITEFLY Knowledgebase .................. __________ × $30 = __________
  2. Shipping/handling ............................................................... __________
  3. Ney York residents add
    applicable sales tax ............................................................ __________
  4. Total .................................................................................. __________


Make checks or money order payable to Formedia, Inc.
MasterCards and Visa credit cards acceptable

MasterCard/Visa _________-_______-________-_________

Expiration date _______________________

Signature __________________________







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