ORDER FORM FOR NutriTrak v1.00 Product #3704
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PRODUCT INFORMATION                       Quantity   Price Each
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NutriTrak for Windows - Version 1.00      ________    $20.00 US


SHIPPING						FREE

GRAND TOTAL                                           $________


PAYMENT INFORMATION
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Method:	( ) Credit Card 
	    ( ) Discover
	    ( ) MasterCard
	    ( ) Visa
	    ( ) AMEX

	    Number: __________________

	    Expire: _________

	    Name on Card: ___________________________

	( ) Check {MUST be drawn on a US bank} 

        ( ) Money Order


SHIP TO
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   Name:

Company:

Address:
       :
       :
Country:

  Phone:

Email Address:

What is your primary operating environment:
       ( ) 32-bit (Windows 95/98, Windows NT)

Source Of Evaluation Copy:


HOW TO REACH US
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   WWW:		www.fortyacre.com
   EMAILED to:  support@fortyacre.com

Check or Money Order Mail to:

	NorthStar Solutions
	1228 Westloop Pl, Suite 204
	Manhattan, KS 66502

Fax Order to:

	NortStar Solutions (24 hrs.)
	785 539-3743

!!!! IMPORTANT !!!!

Please remember to mention Product #3704...


                THANK YOU FOR YOUR ORDER!
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