Please provide the following contact information for Processing your Order:

Full Name
Address
City, State Zip
Home Phone
Cellular Phone
E-mail	Order will be e-mailed to this  E-mail Address

Please provide the following product information, please note, MS Access, MS Excel or MS Word is required to view, utilize or process this information on your personal computer.  No refunds are provided if you do not have the Software Programs to open and utilize the databases provided.  We do not offer other formats at this time, the databases in all formats are not restricted and offer correction capabilities.  Please review the copyright terms and conditions of usage at hyperlink below.

Click on Product Name According to your Order	MS Access $99.00 MS Excel $99.00 MS Word $99.00 Insert Yes or No Below
Do you have MS Access Program on your computer	Yes No
Do you have MS Excel on your computer	Yes No
Do you have MS Word on your computer	Yes No
Operating System: Windows, XP, 98, Other?
By checking this box and inserting my name on the right I agree to the Terms and Conditions of this site for a Single User database purchase as accepted

Please provide the following ordering information:

Database Delivery Method	DESCRIPTION
1.  Standard Service	Once credit card approval is completed, order is processed via e-mail within 2-Business Days and sent to e-mail address provided above, price included
2. CD Rom Express Service	Database is delivered on a CD ROM.  Option is available for an additional $35.00 for processing and Shipping Express Mail
3. CD Rom Premium Express Service	Same Day Shipping Rush Service is $65.00 for a CD Rom if ordered prior to 12:00 Noon EST
Note:  US Postal Service is Method of Shipping	We are not responsible for late arrivals
Our efforts are to fill orders the same day received

Choose one of the following Ordering Options :

Credit card Provided, Order Confirmation via E-mail We will contact you by telephone for Credit card information (USA ONLY): $8.00 Additional Fee

Billing and Credit Card Processing Information

Credit Card Information

MasterCard Visa Discover American Express Debit Card

Card Holder's Name		Card Expiration Date
Card Number		V Code-last 3
Total Order Amount		$99.00 Includes Standard Shipping $134.00 Includes CD ROM Express $164.00 Includes CD ROM Premium Express

	Shipping Address
Enter Company Name if delivered to company address
Individual Name and Title if Company
Address, not Post Office Box
City
State
Zip/Postal Code
Country (if outside US our approval required)