--------------------------- O R D E R   F O R M ---------------------------

Please send order form to:                                    CODE: 10000

   Software Store Products, Inc.
   10351 SW 69th Court                 or fax to (352)237-0662
   Ocala, FL 34476          	       (Credit Card orders only)
   U.S.A.

Company: __________________________________________________________

Contact: __________________________________________________________

Address: __________________________________________________________

	 __________________________________________________________

	 __________________________________________________________

Phone:   ___________________________

								 Please Check

The Video Store 3.0 software ............................ $149.00    [  ]

The Credit Card Store module * .......................... $39.95     [  ]

Sales Tax (Florida State Residents add 6%) .............. ______________

Shipping ................................................ FREE  

Overseas Orders (Please add $5.00) ...................... ______________

Total Enclosed .......................................... ______________


-----------------------CREDIT CARD ORDERS ONLY--------------------------

Card Type:    ___VISA   ___MASTERCARD 

Card #__________________________________________  Expiry date __________

Name of cardholder______________________________________________________

Signature___________________________________________  Date _____________

------------------------------------------------------------------------                        


Make Check or Money Order payable to:
   Software Store Products, Inc.

(Please Note:  Payment must be made in United States funds.  Checks
 held for 2 weeks before processing.)

* The Credit Card Store module requires a VeriFone Credit Card Terminal.

Reseller Discounts Available.
