Order Form
                                                            Basic Goat Manager
                                Please complete the form below and then Print (using your browser)

TODAY'S DATE:

RANCH NAME:

CUSTOMER NAME:

YOUR ADDRESS:

CITY:

STATE:

ZIP CODE:

TELEPHONE:

E-MAIL ADDRESS:
                                                      NEW USER

SOFTWARE PRICE :

  $149.95
                        SHIPPING AND HANDLING:  $10.95

Requested Printed Manual:
(F1 help options included in software) :

  $50.00
  No charge 

Minnesota Residents Only:

Minnesota Residents must add 6.5% For Sales Tax

PAYMENT METHOD:

SELECT CREDIT CARD:

                                    ACCOUNT NUMBER       EXP.  
                                     TOTAL ENCLOSED (U.S. Dollars)

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PRINT and MAIL (use your browser's PRINT command)

Remember to include your check with this order form

We offer quick service. We ship within a few days after receiving your order.

Centric Software Inc.
P.O. Box 65
Maple Plain, Mn  55359
(763) 479-1694
 Monday - Saturday  9:00am-7:00pm