INSIGHT SOFTWARE SOLUTIONS Software Order Form Name: ___________________________________________________________ Address: ___________________________________________________________ Address: ___________________________________________________________ City: ___________________ State/Prov: ____________ Zip: __________ Country: ________________________ Day Phone: ________________ Evening Phone: _________________ Payment Method: [ ] Check [ ] Money Order [ ] Visa [ ] MasterCard Card Number: _____________________________________ Exp. Date: ___/___ Signature: _______________________________________________________ Diskette Size: 5.25" 3.5" (Circle One) Product Name Quantity US Dollars Total ---FINANCIAL SERIES--- (*** Site Licenses Available ***) The Mortgage Analyzer (DOS) _______ $30.00 _______ The Mortgage Analyzer PRO (DOS) _______ $50.00 _______ The Debt Analyzer (Windows) _______ $25.00 _______ Annuity Ace Professional (DOS) _______ $25.00 _______ Loan Chief Professional (DOS) _______ $25.00 _______ ---HOME/OFFICE/HOBBY SERIES--- SmartTracker Videos (Windows) _______ $25.00 _______ SmartTracker Inventory (Windows) _______ $25.00 _______ SmartTracker Books (Windows) _______ $25.00 _______ SmartTracker Stamps (Windows) _______ $25.00 _______ SmartTracker Coins (Windows) _______ $25.00 _______ ---ENTERTAINMENT SERIES--- Windows Word Search Rampage (Windows) _______ $15.00 _______ Crossword Construction Kit (Windows) _______ $15.00 _______ Word Search Construction Kit (Windows) _______ $15.00 _______ Subtotal $ ________ Sales Tax ________ (Utah Residents Only [6.125%]) Entertainment Shipping & Handling ________ Only U.S. First Class Mail (Air Mail to Canada) ..... $3.00 $2.00 U.S. Priority Mail ............................. $5.00 $3.00 INTERNATIONAL (U.S. Air Mail) .................. $5.00 $3.00 Total Amount Enclosed $ ________ Please send check, money order, Visa or MasterCard order to: INSIGHT SOFTWARE SOLUTIONS P.O. Box 354 Bountiful, Utah 84011-0354 OR Phone or Fax your Visa or MasterCard order to: Tel: 801 295-1890 Fax: 801 299-1781 COMMENTS: