________________________________________________________________
Send to: Everett Kaser Software email: everett@kaser.com
PO Box
403
web: www.kaser.com
Albany, OR 97321-0117 Phone: (541) 928-5259
________________________________________________________________
BE SURE TO MARK THE PRODUCTS THAT YOU ARE ORDERING:
Name __________________________________________________________
Street_________________________________________________________
City __________________ State/Prov_______ Zip/PostCode_________
Country _______________________________________________________
Phone (in case of questions ONLY): (______) ______-__________
Payment: (check/m.o., Visa, Mastercard, AmExpress, Discover)
Card Number: __________-__________-__________-__________
Expiration date: ____/____ Card verification #: ___________
(For American Express, the card verification # is a 4 digit
number on the front of the card. For others, it's usually a 3
3 digit number on the back of the card, frequently preceded
by the last 4 digits of the card number on the signature line.)Signature for credit card ________________________________
What operating system are you using?
.....95/98/Me___ NT/2000___ XP___ Vista___ Other_____
What is your "Screen" resolution?
.....640___ 800___ 1024___ 1280___ Other (what is it?)_______
_______________________________________________________________