GETRIGHT FAX ORDER. When completed FAX this form to: (719) 302-0200 or to (719) 623-0399 When ordering by FAX, please provide the information requested below. Orders placed by FAX may take up to one business day to be processed. --------------------------------------------------------------------- ORDER FORM -- for phone, fax, and e-mail orders --------------------------------------------------------------------- Your Name: Billing Address (the address your credit card bill is sent to) Street: City: State: Zipcode: Country: Mailing Address (if different than billing address) Street: City: State: Zipcode: Country: Home Phone Number: Work Phone Number: E-mail Address: Credit Card Information Type (Visa, Mastercard, American Express, Discover) Account Number: Expiration Date: Software to Order Title: GetRight ($25.00 per copy) Quantity: Total Dollar Amount: (Quantity x $25.00): If FAXed or e-mailed, please include the following language (and sign if FAXed): I authorize ARO Systems (setSystems) to bill my credit card and agree to pay the total amount according to card issuer agreement. _________________________ _____________ Signature Date