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  1.   __________________________________________________________________________
  2.  | Mail to:      Stiller Research Dept I231            (or mail to any      |
  3.  |               2625 Ridgeway St.                      agent in ORDER.DOC) |
  4.  |               Tallahassee, Florida 32310  U.S.A.                         |
  5.  |__________________________________________________________________________|
  6.  |    O R D E R     F O R M         (Please fill out completely)            |
  7.  |                                                                          |
  8.  |    Name:_________________________________  Title:___________________     |
  9.  |                                                                          |
  10.  |    Company:_________________________________________________________     |
  11.  |                                                                          |
  12.  |    Address:____________________________ City:___________________         |
  13.  |                                                                          |
  14.  |    State:___________   Zip:_____________  Country:______________         |
  15.  |                                                                          |
  16.  |    Date:____/____/____    Type of PC: ___________ DOS Version:___        |
  17.  |                                                                          |
  18.  |    Disk: 5-1/4" ___  3-1/2" ___     Telephone: ____________________      |
  19.  |__________________________________________________________________________|
  20.  |            DESCRIPTION                      |# | Price  |  Each  | Total |
  21.  |_____________________________________________|__|________|________|_______|
  22.  | Integrity Master Package   (first copy)     | 1|$35.00  | $39.50 | $39.50|
  23.  |     Shipping and Handling                   |  | $4.50  |        |       |
  24.  |_____________________________________________|__|________|________|_______|
  25.  | Additional copies (includes book + disk)    |  |        |        |       |
  26.  | $$ from multiple copy table in QUANTITY.DOC |  |        |        |       |
  27.  |- - - - - - - - - - - - - - - - - - - - - - -|  |--------|        |       |
  28.  |     Shipping and Handling (per copy)        |  | $4.50  |        |       |
  29.  |_____________________________________________|__|________|________|_______|
  30.  | Multiple PC usage (site license)            |  |        |        |       |
  31.  |  (enter amount from site license table)     |  |        |        |       |
  32.  |---------------------------------------------|--|--------|--------|-------|
  33.  |   (Extra books/disks only for site license) |  |        |        |       |
  34.  |   Enter # of additional books and disks     |  | $7.50  |        |       |
  35.  |- - - - - - - - - - - - - - - - - - - - - - -|  |--------| $12.00 |       |
  36.  |     Shipping and handling (per copy)        |  | $4.50  |        |       |
  37.  |_____________________________________________|__|________|________|_______|
  38.  | Outside the U.S./Canada, add $5 additional  |  |        |        |       |
  39.  | per package(each book and disk for shipping)|  |        |        |       |
  40.  |------------------------------------------------------------------|-------|
  41.  | Add $6 for non-prepaid purchase orders ------------------------> |       |
  42.  |------------------------------------------------------------------|-------|
  43.  | SUBTOTAL: (use current exchange rate if non-US currency) ------> |       |
  44.  |__________________________________________________________________|_______|
  45.  | Florida residents add local sales tax:  (6 - 7%)  -------------> |       |
  46.  |==========================================================================|
  47.  | TOTAL ENCLOSED:  (We accept checks in currency from Australia,   |       |
  48.  | Belgium, Canada, England, France, Germany, Ireland, Japan or     |       |
  49.  | Switzerland.  No US $ checks from non-US-banks please.) -------> |       |
  50.  |==========================================================================|
  51.  | Where did you get your copy of Integrity Master?                 (V2.31c)|
  52.  |    Download  from:   ____________________________                        |
  53.  |    other:            ____________________________                        |
  54.  |__________________________________________________________________________|
  55.  | Comments: (Suggestions, what you like, don't like etc.)                  |
  56.  |  _______________________________________________________________________ |
  57.  |  _______________________________________________________________________ |
  58.  |  _______________________________________________________________________ |
  59.  |______(with credit card call 1-800-788-0787 or fax to 314-966-1833________|
  60. ------- Separate or fold near here, on continuous form printers-------------
  61.  
  62.  
  63.   1) Please place the order form on the back of this page, then fold both
  64.      pages together as indicated.
  65.  
  66.   2) Insert your check or money order then staple or tape both ends.
  67.  
  68.   3) Stamp and mail.  Orders are normally shipped within 24 hours of receipt.
  69.  
  70.   Reminder: Did you include $4.50 shipping/handling for each copy of IM that
  71.             includes a book and disk? If you are outside of the U.S. or
  72.             Canada,  did you include the extra $5.00 for overseas shipping as
  73.             well as the $4.50 (basic shipping) for each copy?
  74.  
  75.  
  76.           T H A N K Y O U    F O R   Y O U R    O R D E R !
  77.           -------------------------------------------------
  78.  
  79.  
  80.  ----------------------------- Fold here first -------------------------------
  81.  
  82.  
  83.                                                                  -------
  84.                                                                 | Place |
  85.                                                                 | stamp |
  86.                                                                 | here  |
  87.                                                                  -------
  88.  
  89.  
  90.  
  91.  
  92.                                 Stiller Research - Dept I231
  93.  
  94.                                 2625 Ridgeway St.
  95.  
  96.                                 Tallahassee, FL. 32310-5169
  97.  
  98.                                 U.S.A.
  99.  
  100.  
  101.  
  102.  ---------------------------- Fold here last ---------------------------------
  103.  
  104.                                                                               T
  105.  T                                                                            a
  106.  a                                                                            p
  107.  p                                                                            e
  108.  e
  109.  
  110.  h                                                                            h
  111.  e                                                                            e
  112.  r                                                                            r
  113.  e                                                                            e
  114.                              (or staple here)
  115.  
  116.     ------- Separate near here, on continuous form printers-------------
  117.