SmartBroker Mail-in Order Form
Use the Print button in your browser to print this form. Fill out the printed form, and then send  it with your payment to:	NorthStar Solutions   1228 Westloop Pl, #204 Manhattan, KS 66502

Name (Please Print)
Address
City	State
Zip / Postal Code	Country
Phone #
Fax #
E-Mail Address
Alternate E-Mail

Item Description	Price Each	Quantity	Price
SmartBroker Lite (1K stocks) #6065	$29
SmartBroker Standard (5K stocks) #6066	$59
SmartBroker Pro (all stocks) #2992	$239
SmartBroker Upgrade (single) #6067	$30
SmartBroker Upgrade (double) #6068	$219
Michigan Residents please add 6% sales tax
Total Amount Enclosed

Payment Method (circle):    CHECK   /   MONEY ORDER   / VISA   /   MC   /  DISCOVER   /  
AMERICAN EXPRESS

> Please make check or money order payable to "NorthStar Solutions"
> All checks or money orders in US Funds only

Please add the following information for credit card orders:

Card# _________________________________ 3 Digit Code _______  Exp. Date: ____ / ____

EXACT Name on Card: _________________________________________

Signature ____________________________________________________