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  1.   __________________________________________________________________________
  2.  | Mail to:      Stiller Research Dept I401            (or mail to any      |
  3.  |               1265 Big Valley Dr.                    agent in ORDER.DOC) |
  4.  |               Colorado Springs, CO 80919  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:_________________________    Email adr: ____________________  |
  11.  |                                                                          |
  12.  |    Address:____________________________    City:_______________________  |
  13.  |                                                                          |
  14.  |    State:__________  Zip/Postal code:__________  Country:______________  |
  15.  |                                                                          |
  16.  |    Date:____/____/____    Type of PC: ___________   Op Sys 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|$45.00  | $49.50 | $49.50|
  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.  |  (see site license table in quantity.doc)   |  |        |        |       |
  32.  |---------------------------------------------|--|--------|--------|-------|
  33.  |   (Extra books/disks only for site license) |  |        |        |       |
  34.  |   Enter # of additional books and disks     |  | 10.00  |        |       |
  35.  |- - - - - - - - - - - - - - - - - - - - - - -|  |--------| $14.50 |       |
  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)|  | $5.00  |        |       |
  40.  |------------------------------------------------------------------|-------|
  41.  | Add $6 for non-prepaid purchase orders ------------------------> |       |
  42.  |------------------------------------------------------------------|-------|
  43.  | SUBTOTAL: (use current exchange rate if non-US currency) ------> |       |
  44.  |__________________________________________________________________|_______|
  45.  | Colorado residents add local sales tax:  (3 - 7%)  ------------> |       |
  46.  |==========================================================================|
  47.  | TOTAL ENCLOSED:  (We accept checks in currency of all major      |       |
  48.  | countries--please see the list countries near the end of file    |       |
  49.  | ORDER.DOC.  No US $ checks from non-US-banks please.) ---------> |       |
  50.  |==========================================================================|
  51.  | Where did you get your copy of Integrity Master?                 (V4.01a)|
  52.  |    Download  from:   ____________________________                        |
  53.  |    other:            ____________________________                        |
  54.  |__________________________________________________________________________|
  55.  | Comments: (Suggestions, what you like, don't like etc.)                  |
  56.  |  _______________________________________________________________________ |
  57.  |  _______________________________________________________________________ |
  58.  |  _______________________________________________________________________ |
  59.  |__(with credit card call PsL at 1-800-2424-Psl or fax to +1 713-524-6398__|
  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 I401
  93.  
  94.                                 1265 Big Valley Dr.
  95.  
  96.                                 Colorado Springs, CO 80919-1014
  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.