QUICK 100 AUTOMATIC

Money Order Payment Form

Please allow 2-4 weeks for processing.  Your order will be processed after we receive your payment.

Please print out this page and mail with your Money Order payment of USD $20.00 to:

Huong T Nguyen

PO Box 102

Ferryden Park  SA  5010

AUSTRALIA

Order Date:    11/06/2005 06:59 PM

Product                                                                                                                Qty    Unit Price    Subtotal

Quick 100 Automatic Business Package                                                                1            $20.00        $20.00

                                                                                                                                        SubTotal        $20.00

                                                                                                                                        Tax                $0.00

                                                                                                                                        Shipping        $0.00

                                                                                                                                        Total     USD $20.00

End Transaction Record

If you have any problems or question, please contact Cathy Nguyen the supplier of the products you ordered.