To order by mail send this order form and either a personal check, cashiers check or credit card information to: Last Technologies 4426 SE 35th St. Des Moines, IA 50320 Payments must be in US dollars drawn on a US bank, or you can send international postal money orders in US dollars. Name ________________________________________________ Company ________________________________________________ Street ________________________________________________ City ________________________________________________ State __________________________ ZIP________________ Country ________ E-Mail ___________________ Phone ____________________ Fax ____________________ Credit Card: ( )Visa ( )MasterCard ( )Amex ()Discover Credit Card #: _______________________ Exp Date:______ Cardholder Signature: ___________________________________ Where did you hear about RaceScore? __________________ RaceScore 9.0 ____ copies @ $34.95 each = ___________ RaceScore 9.0 Upgrade ____ copies @ $24.95 each = ___________ Previous Registration Number ________________ No Shipping (Download only) $0 + _________ Sub Total ========= Total Remittance =========