INSIGHT SOFTWARE SOLUTIONS Software Order Form

  Name:    ___________________________________________________________

  Address: ___________________________________________________________

  Address: ___________________________________________________________

  City: ___________________  State/Prov: ____________  Zip: __________               

  Country: ________________________

  Day Phone: ________________   Evening Phone:  _________________
                                     
  Payment Method:  [ ] Check   [ ] Money Order   [ ] Visa   [ ] MasterCard

  Card Number: _____________________________________  Exp. Date:  ___/___
  
  Signature:   _______________________________________________________
  
  Diskette Size:   5.25"     3.5"   (Circle One)

  Product Name               Quantity    US Dollars   Total

  --DOS PRODUCTS--
  The Interest Analyzer      _______     $25.00      _______
  The Mortgage Analyzer      _______     $25.00      _______
  The Debt Analyzer          _______     $20.00      _______
  Annuity Ace (Lite)         _______     $15.00      _______
  Annuity Ace (Professional) _______     $25.00      _______
  Loan Chief (Lite)          _______     $15.00      _______
  Loan Chief (Professional)  _______     $25.00      _______

  --WINDOWS PRODUCTS--
  The Debt Analyzer          _______     $15.00      _______
  The Debt Analyzer Plus     _______     $25.00      _______

  Subtotal of all products  $ ________

  Sales Tax                   ________     (Utah Residents Only [6.25%])

  Shipping & Handling         ________    U.S. First Class Mail ...... $3.00
                                          U.S. Priority Mail ......... $5.00
                                          U.S. Air Mail (over seas) .. $5.00
  Total Amount Enclosed     $ ________

  Please send check, money order, Visa or MasterCard order to:
                                            
        INSIGHT SOFTWARE SOLUTIONS          
        P.O. Box 354                        
        Bountiful, Utah  84011-0354         

  OR Phone or Fax your Visa or MasterCard order to:
                                    
       Tel: 801 295-1890         Fax: 801 299-1781            

   *** Site Licenses with quantity discounts available.  Please Call. ***

  COMMENTS: