Name ___________________________________  Company ________________________________  Address _________________________________  City ___________________________ State ____ Zip __________  Country_______________________________________________  Telephone _________________   Fax_______________________   Where Did You Learn About Stock Prophet? __________________    _____________________________________________________  Item                             Quantity              Price $US         Stock Prophet Software, Manual   ____ @ $995             ________  Sample Data, AEGIS key (3 lb.)         Stock Prophet and  BrainMaker Software             		  ____ @ $1190            ________  (6 lb)                Stock Prophet and  BrainMaker Professional               ____ @ $1790           ________  (7 lb)                   Stock Prophet and  BrainMaker Professional with        ____ @ $2040           ________  Genetic Training Option (GTO)    (7 lb)  Extra AEGIS Security Key         ____ @ $95                    ________  (Allowed 1 per Stock Prophet program)                                                                                                                 Subtotal        ________          California Residents add (8.25%) Sales Tax                     ________    Shipping & Handling (FEDERAL EXPRESS)  US $25 - Foreign Destinations Per Weight                       ________  ( Other shipping optional )                                                                                   All provided on 3.5" Disk  DOS BrainMaker recommended and shipped        Total  ________  unless Windows version specifically requested    Make Check Payable to: Future Wave Software     1330 S. Gertruda Avenue               Redondo Beach, CA 90277                         Tel 310-540-5373                   Signature___________________________