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	ITEM NO.	DESCRIPTION	UNIT PRICE ($)	QTY	Total
Total US dollars (does not include tax or other charges)					0.00
Florida Tax (6.5 percent. Only charged on software delivered on CD to In-State Non Exempt Customers.)
Total

Tax will be computed on the above total unless you qualify for a tax exemption.
In which case please enter the following information:

Institution Name:

Tax Exemption Number:

email address(Required for all orders):

Please indicated if you reside in Florida (required) YES NO

If you wish to purchase using a PO, please print this form and mail or fax to Jacarit Business Solutions.

15356 Blue Fish Cir.
Lakewood Ranch, Fl 34202

* Prices subject to change without notice

** All prices are shown in U.S. currency.
*** For shipping to U.S. Cities / States only. All others call for quote.
**** All sales are final. No refund will be granted once software is shipped.