Five Star Software Secure Order Form

This order site is a SAFE and SECURE web site using SSL (Secure Sockets Layer). If you are unable to view/submit this page successfully, you may also call us at (904) 262-7045 or fax this form to us at (904) 371-4941.

YES! I want to have the MOST organized bar/bat mitzvah possible by using the top-rated and very popular My Bar/Bat Mitzvah Companion. I want the software to track and store all the TINY details while I ENJOY the entire planning process with my child. Since I am taking advantage of this offer before midnight Thursday, March 11, 2010, I will also receive the BONUS PACKAGE not offered by anyone else-- mine to keep whether I keep the software or not:

I understand that the ~~$49.95~~ $39.95 I will pay today is done with absolutely no obligation and no commitment. If I'm not 100% convinced that this software will help me with my bar/bat mitzvah, then I will simply tell you and I will be issued a prompt and courteous refund within 30 days and I may still keep the bonus gifts.

Please take a SHORT MOMENT to fill in the information below. Your order will be promptly, safely and securely handled--in fact we are taking all the risks!!!

"I love your software; it's the best I've seen so far and worth the money! I am extremely impressed with the software!" - Kim M., San Leandro, CA

Billing Address

**First Name:
**Last Name:
**Address 1:
Address 2:
**City:
**State or Province:
**Zip or Postal Code:
Billing Zip Code (if different from above):
Country:
**Phone:
Fax:
**Email:
Where did you find out about us exactly**? (which EXACT search engine, magazine, radio, etc.)

Shipping Address (if different from above)

**First Name:
**Last Name:
**Address 1:
Address 2:
**City:
**State or Province:
**Zip or Postal Code:
Country:

Products

Please choose one:
	My Bar/Bat Mitzvah Companion software (DOWNLOAD ONLY) - you will receive the code via email and nothing will be shipped to you	$39.95
	My Bar/Bat Mitzvah Companion software (CD-ROM) - for an extra $5 you will get a CD-ROM shipped to you	$44.95

Sales Tax
(FL residents):

Your county sales tax:% or $

Grand Total:

Payment Method:

Card Number:

(NUMBERS only please, no spaces or dashes)
3-digit validation code on back of card

Expiration Date: -

(Your payment information will be kept safe and secure)

Comments/Questions/Special Delivery Information:

I authorize Five Star Software to charge my credit card for the amount indicated above. I further affirm that the name and personal information provided on this form are true and correct. I understand that credit card fraud will be prosecuted to the fullest extent of the law and my TCP/IP address and hostname has been recorded. Software that is refunded within 30 days from today is subject to a $6.50 transaction fee (if we converted your database, there will be a $25 charge for the conversion of the database). Shipping is not refundable.

By pressing the SUBMIT button below, I agree to the terms and conditions above.

(NOTE: If you encounter ANY problems whatsoever, please send the above information via an email message to us at support@fivestarsoftware.com, call us at (904) 262-7045 or fax this form to us at (904) 458-8031.