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  1.  
  2.                   SYSTRACK Order Form
  3.  
  4.      Date: ______________________________
  5.  
  6.      Name: ______________________________  Title: ______________________
  7.  
  8.      Company: __________________________________________________________
  9.  
  10.      Address: __________________________________________________________
  11.  
  12.           __________________________________________________________
  13.  
  14.           __________________________________________________________
  15.  
  16.      Day Phone: ______________________     Evening: ______________________
  17.  
  18.  
  19.      Please complete the worksheet below and enclose your check or money
  20.      order.  Colorado residents please add the applicable sales tax. ALL
  21.      CHECKS AND MONEY ORDERS MUST BE DRAWN ON U.S. ACCOUNTS ONLY.
  22.  
  23.       +---------------------------------------------------------------+
  24.       |             Description              |   Price   |
  25.       |---------------------------------------------------+-----------|
  26.       |     SYSTRACK Program Diskette Only        $17.95    \ |          |
  27.       |     SYSTRACK Diskette and Printed Manual    $21.95    / | _________ |
  28.       |                              |          |
  29.       |     Colorado residents add sales tax:          |          |
  30.       |       Colorado [3.0%]                  | _________ |
  31.       |       RTD District [.8%]                  | _________ |
  32.       |       Denver [3.5%]                  | _________ |
  33.       +---------------------------------------------------+-----------|
  34.        Diskette format: [ ] 5.25"  [ ] 3.5"        TOTAL | _________ |
  35.                               +-----------+
  36.  
  37.  
  38.       Both options include support by telephone, U.S. mail, electronic
  39.       mail (CompuServe: 73540,3417); & notification of major upgrades.
  40.  
  41.       _________________________________________________________________
  42.  
  43.       Remit payment to:
  44.  
  45.                 Integrated Data Services
  46.                 379 Holly Street
  47.               Denver, Colorado  80220-5827
  48.  
  49.                Telephone:  1-303-399-8815
  50.