                          Advanced Data Solutions
                                P.O. Box 714
                               Luray VA 22835
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             | ORDERING / REGISTERING CHARITY DIRECTOR |
             +--------------------------------------------+

You may order CHARITY DIRECTOR by completing the form below and sending it 
to us along with your payment.  We will return your registration keys by e-mail. The registration key will remove the number limitation.  Please be sure you fill out the registration form completely and legibly. 

Name: _________________________________________     Date: ____________

Organization: ________________________________________________________
Street Address: ______________________________________________________
City/State/Zip _______________________________________________________     

Phone: _____________ Internet Email Address: _________________________

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|      Description                             | Price * |  Cost     |
|==============================================|=========|===========|
| I want to register my evaluation copy of     |         |           |
| Charity Director, Windows, Version 1.x       | $149.95 |           |
| (registration key will be forwarded by email |         |           |
|  once funds received)                        |         |           |
|----------------------------------------------|---------|-----------| 
| I want to order and receive a full copy of   |         |           | 
| Charity Director, Windows, Version 1.x       | $159.95 |           |
| (including 3.5" disks & User Manual)         |         |           |
|----------------------------------------------|---------|-----------|
| Charity Director User Manual                 | $ 10.00 |           |
|==============================================|=========|===========|
| Sales Tax (Virginia Residents Only)   4.5%             |           |
|----------------------------------------------|---------|-----------|
| Shipping Charge                              |    5.00 |           |
|----------------------------------------------|---------|-----------|
| Shipping Charge outside U.S.                 |$  10.00 |           |
|==============================================|=========|===========|
| GRAND TOTAL (Make check payable to Advanced            |           |            Data Solutions)                     |         |           |
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All orders must be prepaid by checks payable in U.S. dollars and drawn on a U.S. bank, certified bank drafts drawn in the hard  currency of the issuing bank, American Express money orders,  U.S. or International postal money orders.