Please send me _____ CD(s) - CHAT PROGRAMS        

Non-Ohio Residents @ $169.50 ea.        

$__________

Ohio residents (includes 7% sales tax) @ $181.37 ea.        

$__________

Tax Exempt Number: ____________________        

Total Enclosed:        

$__________

Type of Computer: 

___________________________________________

NAME/COMPANY: 

___________________________________________

Address: 

___________________________________________

City: 

___________________________________________

State: 

___________________________________________

ZIP: 

___________________________________________

PHONE: 

(______)____________________________________