AstroWorld Suite 2000 U.S.A.

Order Form
Order on line at our secure web page http://manic-raven.com/store
Phone: (773) 463-5327
Fax: 1- (800) 760-1643

Print and mail this order form to:

Joseph M. Amico
3540 N. Southport Ave.
PMB #348
Chicago, IL. 60657-1475

For Orders outside of the United States/Canada please refer to: http://www.astroworld.net

We accept: VISA MASTERCARD AMERICAN EXPRESS (See Below):

Name: First______________________ MI.___ Last__________________________

Address: ____________________________________________

_____________________________________________________

City/Town ____________________________________________________________

Province/State _______________________Postal/Zip Code __________________

Country ______________________________________________________________

Daytime Phone ( ) ______-__________

E-Mail Address _______________________________________________________

How did you find AstroWorld ?

Internet Friend Magazine Other: _______________

Payment: Credit Card (see below) Check Money Order

Make Checks Payable to: Joseph M. Amico

CD-ROM (AstroWorld Suite 2000 is not available on floppy disk.)

E-mail Update List: Check here if you'd like to be notified automatically of new releases and updates.
Order / Register:

AstroWorld 2000 Astrology Software Registration U.S. $ 89.00

AstroWorld 2000 Astrology Software Professional U.S. 189.00
AstroWorld 42 Numerology Software Registration U.S. 19.00
AstroWorld 42 Numerology Software Professional U.S. 39.00

Upgrade Pricing:

AstroWorld 98 Reg. To AstroWorld 2000 Reg U.S. $ 29.00

AstroWorld 98 Pro. To AstroWorld 2000 Pro. U.S. 59.00
AstroWorld 98 Reg. To AstroWorld 2000 Pro. U.S. 129.00

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Shipping and handling U.S. $ 5.00

Illinois residents please add 8.75% Tax U.S. $ _____________

TOTAL IN US DOLLARS U.S. $ _____________

_______________________________________________________________________

Payment by Mastercard, American Express or Visa card:

Type: Visa Mastercard American Express

Credit card number: __________________________________________________

Expiration date: MO:_______ YR:_______

The name as it appears on the card: __________________________________

Signature of card owner authorizing Joseph M. Amico to debit it for the

amount indicated above: __________________________

All Information, Materials, Astrology charts & Software are to be used

at the discretion of the recipient and are not the responsibility of the
owner/s of AstroWorld, Joseph M. Amico or any subsidiaries thereof.
Ordering of the above materials automatically adheres you to this
agreement.