Name: ______________________________________________________________
Address: ____________________________________________________________
City/State: ___________________________________________________________
Zip Code: ___________________________________________________________
Phone Number: _______________________________________________________
No. of Personalized Screen Saver Software (1 or more): _________
No. of Pictures enclosed (no larger than 5x7): ________
Amount enclosed: ___________________
System information for each Software Program:
1.44 MB floppy disk
IBM Compatable
486 or higher
PC Only
Please allow 2 - 4 weeks for delivery.
Each Personalized Software Program:
$25.00 per 15 Pictures
$10.00 per Additional 5 Pictures
Though every and all precautions are taken,
Rhema Computer Services can/will not be held responsible for lost or damaged
photographs, regardless of fault.