


| _______ | Qty. 1 "Group Trakker" software package at $29.95 each | Total | $__________ |
| _______ | Qty. 2 - 10 "Group Trakker" software packages $24.95 each | Total | $__________ |
| Add $5.00 for shipping & handling | Total | $__________ | |
| Wisconsin residents add 5% sales tax | Total | $__________ | |
| Total | $__________ | ||
| I am sending a | |||
| _______ | Check | ||
| _______ | Money Order | ||
| Please charge my | |||
| _______ | Master Card | ||
| _______ | VISA | ||
| Card #_______________________________________ | |||
| Exp. Date___________________ |
Signature ______________________________________________
Name _________________________________________________
Address _______________________________________________
City ________________________________ State _____________
Zip ________________ Phone _____________________________

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or fax your orders to: 715-696-6345

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