Print this form and send check or money order to:
TGHomeSoft
4521 Ross Lanier Lane
Kissimmee, FL 34758
Fax: 1-800-513-3754
| Full Name: | |
| Street Address: | |
| City, State/Province | |
| Zip/Postal Code | |
| Country: | UNITED STATES |
| Email Address: |
| Quantity | Item | Price | Total |
| 1 | Homeschool Tracker Plus for Trial Program Customer | $44.00 | $44.00 |
| 1 | Homeschool Tracker Plus for Trial Program Customer | $44.00 | $44.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus - Download Only | $49.00 | $49.00 |
| 1 | Homeschool Tracker Plus - Download Only | $49.00 | $49.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus - Download Only | $49.00 | $49.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus - Download Only | $49.00 | $49.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus - Download Only | $49.00 | $49.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| 1 | Homeschool Tracker Plus 30-Day Trial | $5.00 | $5.00 |
| Item Total | $393.00 | ||
| FLORIDA Residents add 7% sales tax | |||
| GRAND TOTAL | |||
Payment Method:
| Check or Money Order: we can only accept funds in U.S. Dollars |
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Credit Card: please provide the following information Name on card: Type of Card: [Visa] [MasterCard] Card Number: Expiration Date: Address where you receive the billing statements for this card (if different than shipping address): |