If you wish to charge your order to either VISA or Master Card, please print
this file and fill in the following:


___________________________________ (Name as it appears on your credit card)

___________________________________ (Corporate name if using a corporate card)

___________________________________ (Billing Address)

___________________________________ (Billing City/State/Zip)


___ VISA    ___ Master Card  (Check One)

___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ (Card No.)

___ ___ / ___ ___ (Expiration Date)

$________________ (Total Amount Charged)

X_______________________________________ (Signature) ____/____/____ (Date)


Please Note:  All charge orders will be sent to the billing address on the
credit card only.  Please return this with your order.  "TAKEHOME SOFTWARE
PROD" will appear on your VISA/Master Card statement for the total amount
charged.

Thank you,
TakeHome Software Products