Eye of the Storm

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Instructions: Print this form on your printer using your Web browser. Complete the shipping information below and fill in the total amount for your order. Credit card customers, please be sure and include your signature. Please do not send cash. Send this form with payment to:

Starstone Software Systems, Inc.
PO Box 950478
Lake Mary, FL 32795-0478

OR Fax to: 407-324-0105


Name:         _______________________________________

Address:      _______________________________________


City:           ____________________ State: ____________

                                                     Zip:  ______________


Email:  ______________________________________________


Phone: ______________________________________________
(Phone number is only if we have problems processing your order)

Eye of the Storm™ 3000 CD ROM                             $39.95
Shipping and Handling                                             $4.95
Florida Sales Tax (7% - $3.14 for Florida 
                                        residents only)           _________

Total:                                                                _________

Payment Method:

____ Check/Money Order    ____ Visa   ____ Master Card   

____ Discover/Novus         _____ American Express


Card # ______/______/______/______      Exp. Date: _____________

Security Code from back of card: _______________
(See http://www.starstonesoftware.com/eots/cvv2.htm if you don't know what this is).

Signature: ___________________________________________________


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