Order form for Geek, Inc. products

Please type or Print neatly or in BLOCK capitals Then Print this form and 
send with your order.


Shipping Address:

Name _________________________________________________________________

Address ______________________________________________________________

______________________________________________________________________

City/town ____________________________________________________________

Province/state _______________________Post/zip code __________________

Country ______________________________________________________________

Daytime phone number _________________________________________________

FAX number ___________________________________________________________

E-mail address _______________________________________________________


Payment: 	 [ ] Check 		(on a US Bank only)
		 [ ] Money Order 	(on a US bank only)
 	            [ ] Cash 		(take your chances)   

Qty.

[    ] Lazer - Worldbook 1 		     		              		$30.00


Shipping and handling (in the United States)		   	 FREE                         
	add $2.00 for each additional book		


Shipping and handling (outside the United States)		 $5.00
	add $2.00 for each additional book

TOTAL (in US DOLLARS)    		                     			_____________


_______________________________________________________________________

Please make your check or money order payable to:
	
			Geek, Inc.


and mail it and this form to:    

			Geek, Inc. 
			Attn: Sales Department
		      	1202 SW Wayne
	                Topeka, KS 66604
                        USA



[ ] Please notify me by e-mail when new software and other products are released.