PRINTABLE SMALL BUSINESS ADVISOR ORDER FORM

   My mailing address:   Name    ___________________________

                         Street  ___________________________
                           
                                 ___________________________
                         
                 City/State/ZIP  ___________________________

   E-mail address (required, if you want a download link sent):
    ­­__________________________@_________________________________
     
               SELECT ONE OR MORE OF THE FOLLOWING:
   
  [ ] Downloadable (link e-mailed)  Single State Edition 
      for (state):  ________________  $29.95           = $__________

  [ ] Additional state editions, if you want more than 
      the Single State Edition.  $6.00 per additional 
      state. List states here: _________________________   
      ITEM TOTAL:  ___ x $6.00 (extra state editions)  =  __________

  [ ] Ship the above version(s) to me on CD-ROM: $5.00 =  __________   
  
  Regional Editions (7 state editions included in each 
  regional CD-ROM:  $49.00 per region)         
  [ ] New England:   CT, ME, MA, NH, RI, VT, NY         = __________
  [ ] Mid-Atlantic:  DE, DC, MD, NJ, NY, PA, WV         = __________ 
  [ ] Great Lakes:   IL, IN, MI, MN, OH, WI, PA         = __________ 
  [ ] Southeast:     AL, FL, GA, NC, SC, TN, VA         = __________ 
  [ ] South Central: AR, KS, LA, MS, OK, TX, MO         = __________ 
  [ ] Midwest:       IA, KY, MO, NE, ND, SD, IL         = __________ 
  [ ] Southwest:     AZ, CA, CO, HI, NM, NV, UT         = __________ 
  [ ] Northwest:     AK, ID, MT, OR, WA, WY, NV         = __________  

  [ ] Professional Version (all 51 state and D.C. 
      editions; on CD-ROM, + download link: $99.00)     = __________


SHIPPING:                                                (FREE S & H)
  
MERCHANDISE TOTAL:                                       $__________

UTAH RESIDENTS ONLY: ADD YOUR LOCAL RATE OF SALES TAX:    __________

TOTAL AMOUNT ENCLOSED (PAYABLE TO MICHAEL D. JENKINS):   $
                                                          ==========

Print and mail this order form, with cash, check or money order, to: 

           Michael D. Jenkins, Esq.           
           250 N. Snow Canyon Drive #69
           Ivins, UT 84738      

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