Mail with credit card information or a check to:
Ron Scott, 2020 Colquitt Street, Houston, TX, 77098

Print out this form and mail it to us at the address above.

Name ____________________________________________________________________________

Company _________________________________________________________________________

Address _________________________________________________________________________

City _____________________  ST _____  Zip ________________ Country_______________

Phone _____________________  Fax _____________________ Email ____________________

NOTE: 	Email address required. All software is downloaded from the Web.
	We will Email you instructions on how to download.
	If you want your software sent on CDROM, include an additional
	$25.00 US for shipping and handling.

QPR Serial Number (upgrades only) _______________________________________

__QPR for Windows:...................................................$795

__QPR for Windows Upgrade: If you own any DOS version of QPR,
                           upgrade to QPR for Windows for only.......$495

__QPR for Windows Upgrade: QPR 4.0 to 4.1............................$195

Software                        $____________

Shipping and Handling (US only) $____________ ($25.00 for software on CD-ROM)

Sales Tax (Texas only)          $____________

Total                           $____________

Check or Money Order enclosed (US funds payable to Ron Scott Inc.)

Charge my (circle one):  Master Card    VISA

Card Number_________________________________  Expiration____________________

Name on Card ________________________  Signature____________________________

Note: For purchase orders, please contact us directly at 713-529-5868.

International orders by credit card only. International shipping charges are calculated individually and added to your credit card order. If you have any questions about your order, please contact us. Prices subject to change without notice.