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Temari Screensaver Version 3/2006 Order Form

Name_____________________________________________________

Address:________________________________________________________

City:__________________________________________  State:_____________________ Zip:_______________

Phone (_____) _______________________  Email:_____________________________________

Quantity: Windows_____________

                Mac________________

Amount enclosed (Please make checks or money orders payable to Puffin Stuff Inc):$____________
        (minimum requested donation per screensaver is $12.50)


        Print this form, complete information and input and send with check or money order :

Ginny Thompson/Puffin Stuff Inc
112 Mac Ghee Road
Poughkeepsie, NY 12603


Thank you very much!!!

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Last updated 9/06 Copyright 2006, G. Thompson