First Name:______________ _________________________

Last Name:______________________________________

Address:________________________________________

City:________________________State:________ Zip:____________

Phone:_____________

Size:_____________ (See above for sizes.)

Shipping and Handling: Add $4.95

(If you prefer you may visit our facility and pick up your order in
person and avoid the S&H charges.)

My check for $________ is enclosed.

Please return this order form to:

Computer Learning and Resource Center
12301 Old Columbia Pike, Suite, 220
Silver Spring, MD 20904. CLARC is a non-profit organization.

* Phone orders: Please call 301-622-6007 to place an order or for directions
to our location.