


                                    INVOICE



                             Peak InfoSystems, Inc.
                         31 E. Platte Avenue, Suite 214
                        Colorado Springs, Colorado 80903
                     Phone: (719) 471-1618    Fax: 471-1637



          Registration for Peak InfoSystems, Inc., BULKMAIL $50.00

          Colorado residents add 3% sales tax: $ 1.50       ______

          El Paso county residents add 1% sales tax: $ .50  ______

          Total enclosed:                                   ______



          [ ] Check [ ] Money Order [ ] Master Card [ ] VISA

          Make check payable to Peak InfoSystems, Inc.

          If Master Card or VISA: Card Number: ___________________

          Expiration Date:                   _____________________



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          Name:    _______________________________________________

          Firm or Agency: ________________________________________

          Address: _______________________________________________

          ________________________________________________________

          City, State, Zip Code:
          ________________________________________________________

          Telephone: (Area)__________ Number _____________________

          (6.0)

