Expense Report 98 Order Form Please fill this order form completely and fax it to 713-524-6398. 1. Product Name: Expense Report 98 2. Product Number: 15309 3. Your Full Name:______________________________________________ 4. Your Mailing Address: (Product will be shipped to this address) ___________________________________________________ ___________________________________________________ City:_______________________________________________ State:______________________________ Zip:___________ Country:___________________________________________ 5. Your daytime phone number (should we have a question regarding your order): (______) _____________________ 6. Your email address:__________________________________________ 7. How do you wish to receive the product: [ ] I have downloaded or will download the product from http://www.saxena.com/zoom/download/exp20.exe. Just email me the serial number for registration. (No shipping and handling charges) [ ] Please send me the product by mail (You must include $4.00 shipping and handling for each copy of the product). 8. PAYMENT INFORMATION a. Price Per Copy $25.00 + $4.00 shipping and handling: $29.00 b. Number of copies ________________ c. Total Amount ________________ d. Texas residents add 8.25% sales tax ________________ e. Total ________________ Please charge the total amount indicated above (item 8.e) on my following credit card. CREDIT CARD NUMBER: __________________________________ EXPIRES ON: __________________________________ TYPE: [ ] VISA [ ] MC [ ] AMERICAN EXPRESS [ ] OTHER [ ] ______________________ AUTHORISED SIGNATURE: _____________________________________