| Company Name: |
| Address1: |
| Address2: |
| City:                                                                              State/Prov: |
| Zip/Postal Code: |
| Email Address: |
| Abacus II Serial #:                                      Contact: |
| Software Purchase: | ||
| Abacus Software - Single User License | $    795.00 |                                |
| Abacus Software - 5 User License | $ 1,995.00 |                                |
| Abacus Software - Additional User Licenses | No. Lic.:        X $    300.00 |                                |
| Technical Support: | ||
| Abacus - 12 months unlimited support | $  400.00 |                                |
| Shipping Charge for Abacus: (Add $25) |                                | |
| Sub-total: |                                | |
| GST @ 5%: |                                | |
| Ont. Residents Add 8% PST: |                                | |
| Grand Total: |                                | |
Note: If downloaded, shipping and handling does not apply.
Payment by:           O  Visa        O  Mastercard        O  Cheque
Card Number: ________________________________________ Expiry Date: ____________________
Cardholder Name: ____________________________________
Authorization Signature: ____________________________
NOTE: Orders will NOT be processed unitl payment is received.
To order by cheque send this form and a cheque payable to: Silver Mountain Software
Silver Mountain Software 13300 Tecumseh Road East, Suite 366, Windsor Ontario N8N 4R8 Phone: (905)853-6922   Fax:(905)853-1709