Order Form

Internet Order Form
To Order any of our products, please either call 800-880-0887 or print this order blank by clicking on your browser's print button and mail to address below. You can also fax your order to 830-899-2124.

Dilloware, LP., 2825 FM 2722, New Braunfels, Texas 78132

*Name _________________________________________

*Company ______________________________________

*Physical Address ________________________________

*City _______________________ *State ___ *Zip ______

*Phone ___________________ *Fax _________________

*Computer _____________________________ *RAM___________

*Windows XP/ME.....Windows 98 ..... Windows 95 .....Windows NT/2000

*Visa .......MasterCard .......Discover .......COD .......Check

Card # ____________________________________________Exp Date _______

Bill Address___________________City________________State______Zip_____

*Cardholder Signature _______________________________________________
Software products are non-returnable. Other licensing restrictions apply.

*Which magazine did you see us advertised in?_________________________

Product Name	Qty	Each	Total
The Billing Clerk version 6		$699.95
Accounting Clerk (GL & Profit and Loss) Add-On Module		$149.95
Perforated Paper- Ream * (Please Specify: Invoice/Statement or Past Due/Receipt)		$ 30.95
Perforated Paper - Case * Call for shipping prices on paper orders. (Please Specify: Invoice/Statement or Past Due/Receipt)		$275.95
FormPizazz		$149.95

Shipping/Handling * (See Below)	$16.95
2 Day Air - $22.95
COD (Cashiers Check or Money Order Only) (Additional Fee) - $12.95
Subtotal
Sales Tax (Texas Residents Only) 8.25%
Grand Total

*Shipping/Handling charges vary on shipments including paper, and on orders outside US,please call for prices. Other licensing restrictions apply. Prices good through 12/31/06.