Name:

   Address:

         City:

       State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

         ZIP:

   Daytime Telephone (Only for use if there is a question when processing your tax return)

       Area:    No.:  

   Method of payment:  American Express      Master Card      Visa

   Name As on Card:

         Card Number:

     Expiration Date:

     E - Mail Address  

PRICE SPECIALS

                 * Plus $8.50 shipping & Handling for the first copy. Additional copies are at actual shipping rates.