Order Form
 Use for Money Smith. Print this form using the File/Print
 command on your web browser and FAX to 505-281-0498 or mail to address
 below. A text version of this form is available for use with electronic
 mail. See detailed order instructions for more information.

Product
     ______ Copies Money Smith ($29.95 each)
     ______ Upgrade from Earlier Version ($18) Registration Num _________

Shipping
     ______ U.S./Canada/Mexico Address ($4 shipping)
     ______ Other Foreign Address ($6 shipping)

Windows Version
     ______ Windows 3.1    __________ Windows '95 or NT

Your Address

     Name:_________________________________

     Address1: ______________________________

     Address2: ______________________________

     City/State/Zip: ___________________________

     Country: _______________________________

     Phone: ________________  FAX: ___________________

     Email Address: ____________________________

Credit Card (Visa or Mastercard)

     Name on Card: __________________________

     Card Number: __________________________  Exp Date: ____________

     Cardholder's Signature: _____________________________

Special Handling Options
     ____ FedEx Delivery (Credit card or FedEx account #_____________)
     ____ Email a password for our World Wide Web registered download
            area at http://www.nmia.com/~monsmith

 FAX To: 505-281-0498  ..or.. Email to 70324.1077@compuserve.com  ..or..
 Mail To: Money Smith Systems Inc, P.O. Box 333, Converse, TX, 78109
          Checks Payable to: Money Smith Systems Inc
          US Checks or International Money Orders Only!