Commodity Trader's Helper Order Form Mail this form with check or money order for $11.95US or Mail, EMail or FAX this form with VISA or MasterCard ($11.95US) order ==================== Name: ______________________________________________________________ Address: ___________________________________________________________ Address: ___________________________________________________________ City: ______________________________________________________________ State/Province: ____________________________________________________ Postal Code: ___________________ Country: __________________ Telephone: _____________________ FAX: ______________________ EMail: _________________________ Version (Please check one): _____Windows 3.1 _____Windows 95 Payment Method (Please select one): ____Check ____Money Order ____VISA ____MasterCard If paying by VISA or MasterCard, please complete the following: Print your name as it appears on the card: _________________________ Card Number: __________________________ Expiration Date: __________ Signature: _______________________________________ Date: __________ ==================== Sending Your Order Mail: Annabec Business Services, Inc. P.O. Box 85 Millersburg, OH 44654 FAX: (330) 674-2747 EMail: Sales@Annabec.com