Paying by check? Simply print out and send this order form with your check (in U.S. dollars drawn on a U.S. bank), payable to:

DSF Plan
P.O. Box 000
Somewhere, CA 00000

Customer information is considered confidential and will not be shared with or distributed to any third party.
Prices are in US dollars and are guaranteed through July 2003.

Number of Copies ______ at $12 each = _________ California residents add 7.25% sales tax + _________ Total payment US$ = _________

Name: ____________________ Date: __________ Organization:______________________________ Shipping Address:__________________________                  __________________________                  __________________________ Daytime Phone:_______________________ E-mail: _____________________________ How did you hear about DSF Plan? ___________________________________________ Comments:__________________________________ ___________________________________________ ___________________________________________ ___________________________________________