
                              ------------------- 
                              O R D E R   F O R M 
                              ------------------- 
                             B & B   S Y S T E M S 
                          P.O. Box 171   627 Madison   
                          Waukesha, Wisconsin  53187 
         Order/Technical Support: 414-544-5988   BBS: 414-548-9034 
      
              DESCRIPTION                QUANTITY     EACH    TOTAL    
         ------------------------------------------------------------- 
         DOALL Single Installation Lic.     _____    250.00    _______ 
                                SITE LIC    _____    500.00    _______ 
                                CORP LIC    _____   1200.00    _______

         Upgrades (50% of price above)                         _______
 
         FILE CONVERSION SERVICE (# records)=_____ x $.10     $_______ 
         Customization Service (screens, etc. - call)         $_______ 

         Shipping and Handling: 
           ___ Sign me up on BBS for immediate downloading - $0 
               Password desired ____________ 
           ___ US Postal Service - $0 
           ___ Express Mail $25                               $_______ 
                                            WI 5% Sales Tax   $_______ 
                                                     Total:   $_______ 
 

      
        Visa/MC Card Number:  _____________________ Exp Date:________ 

        Signature: __________________________________________________ 
       
        Name:   _____________________________________________________ 

        Street Address: _____________________________________________ 
                             (if PO Box, add street address) 

        City:   ______________________  State: _____  Zip: __________ 

        Bus. Phone: (      ) __________________________ 

        Current Version # _______________      Date:_________________ 


