This is the order form for the CDEveryWhere Installation package on CD-ROM.
The price includes CD-ROM, shipping and handling fees only. 
You will still need to purchase the activation license key for your version
of CDEveryWhere, otherwise the CDEveryWhere on the CD-ROM remains as it is
the evaluation/demonstration version.

Payment Method
-------------- 
We accept the payment in three ways, 1)check, 2)money order, 3)credit card.
We don't currently ship the material to the outside of the United States.
You may mail this form along with the payment to the address:

     Interactive Information R&D, LLC
     6345 South 56th Street; Suite 300
     Lincoln,  NE  68516,  USA

Or if you are using the credit card, you may facsimile this form to 
(402) 420-5029 along with the credit card information.

NOTE: Prices at our web-site: http://www.cdeverywhere.com may differ from
the ones below.  If so, please change the prices in the chart to the ones
at our web-site. 
+------------------------------------------+---------+----------+--------+
|             Product Name                 |  Price  | Quantity | Amount |
+------------------------------------------+---------+----------+--------+
| CDEveryWhere installation package CD-ROM | $20.00  |          |        |
+------------------------------------------+---------+----------+--------+
|                                                     Subtotal  |        |
+---------------------------------------------------------------+--------+
|                                             add 7% sales tax  |        |
+---------------------------------------------------------------+--------+
|                                                        Total  |        |
+---------------------------------------------------------------+--------+

Mailing Address
---------------

First Name: _______________________  Last Name: ___________________________

Email : ___________________________________________________________________

Address: __________________________________________________________________

City: ________________________________ State/Province: ____________________ 

ZIP: ________________ Country: _______________________ 

Phone: ___________________________ Fax: ___________________________________


Billing Address (if different from the Mailing Address)
---------------

First Name: _______________________  Last Name: ___________________________

Address: __________________________________________________________________

City: ________________________________ State/Province: ____________________ 

ZIP: ________________ Country: _______________________

Phone: ____________________________  Fax: _________________________________

Credit Card Information
-----------------------
If you wish to pay by a credit card, please fill in the information below.
(Required to process transaction)

Name on Credit Card: ______________________________________________________

Credit Card Number: _______________________________________________________

Credit Card Type: ____________________________ (i.e. VISA, MasterCard etc.)

Expiration date: ______________



Signature: ___________________________________