Sacco Company, Inc. 
323 Bittersweet Circle 
Williston, VT 05495
802-288-9176
E-mail:  adavis@reversedollarcostaverage.com

Order Form

Please print this form and mail to us.

       
Name: ___________________________________________
Address: ___________________________________________
Address: ___________________________________________
City, State, Zip code: ___________________________________________
Telephone number: ___________________________________________
E-mail address: ___________________________________________

Quantity
Item
Unit Price
Total
________
SACIN®/SACOUT® for personal use
$ 29.95
$_________
       
       
  VT shipments add 7% sales tax (state & local)   $_________
  Shipping & handling - $3.50 each   $_________
     
 
  TOTAL:   $_________
   
Please complete payment information and mail to us at the address above.
__ Payment by check or money order in U.S. funds
__ Mastercard ___ VISA    
Credit card number : ______________________________________
Expiration date: __________________
Signature: _________________________________________
Refund policy: The CD-ROM will be replaced or the purchase price refunded to the original purchaser within 90 days only if it contains errors that interfere with the operation of the software. There is no warranty on the software.