-------------------------------------------------------------- O R D E R F O R M AddressMate for Windows -------------------------------------------------------------- To order AddressMate for Windows by mail or FAX, complete the order form below and fax to 1-203-661-1540 or mail to: CoStar Corporation ATTN: Order Department 100 Field Point Rd. Greenwich, CT 06830-6406 U.S.A. Sold To: Date ____ / ____ /19____ Your Name _______________________________________ Company Name _______________________________________ Address _______________________________________ City, St, ZIP _______________________________________ Phone Number _______________________________________ Order: Cost $69.95 each Quantity X __________ pieces -------------- Subtotal $ __________ Sales Tax + $ __________ (CT, NJ, GA, CA, MO and OH only) Shipping + $ __________ $5 + $2 each additional item -------------- Total Cost $ __________ Method of Payment: [ ] Payment Enclosed (Check or money order) [ ] Charge my: [ ] MC [ ] Visa [ ] American Express Card Number: _____________________________ Exp: __________ Signature: _____________________________ Date: __________