To order by mail send this order form and either a personal check, cashiers check or credit card information to:

Last Technologies,LLC
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?   __________________

League Name   ________________________________________________

RaceScore Online					  
	$50.00 1-50 teams
	$100.00 51-100 teams
	$100.00 each additional 100 teams			  ___________	              
	(e.g. a league with 300 teams would be $300.00,	$100.00 * 3)

Total Remittance				 	   													   =========