Thank you for your order!

Ordering by check: To order by check send this order form and a check to

Five Star Software
5314 Oxford Gables Lane East
Jacksonville, FL 32257

Payments must be in U.S. dollars drawn on a U.S. bank, or you can send
international postal money orders in U.S. dollars.

My Name Change Companion...........................$24.95

Petition of Name Change Form*...................... $25.00
*NOTE: this form is used to get the legal approval change your name
due to reasons other than a marriage or divorce.
    Please circle which form you would like
           Adult   Child   Both

Shipping and handling............................+ $ 6.00
*within U.S only
Florida residents add 6.5% sales tax...............______

Total payment ......................................______

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Company: _______________________________________

Address: _______________________________________

City, State, Zip: _______________________________________

Day Phone: ______________ Eve: _________________

Electronic Mail address: ________________________________

Credit Card: _______________________________________

Expiration Date: _______________________________________

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