Print out this order form, fill it out and fax or mail it back to us.  
We'll process your order immediately.

CREDIT CRUNCHER®   By Interregional Credit Systems, Inc.

COMPANY                                                                                         

ADDRESS                                                                                         
                                                                                                        


AUTHORIZED BY                                                                              
TITLE                                                                                               

PURCHASE ORDER #                                   (Optional)

DATE                                

Please check:      [  ] CD-ROM        [  ]  Floppy Disks

REGULAR  PRICE                                     $ 74.95

QUANTITY ORDERED                                             

SUB TOTAL                                              $            

SHIPPING                                                 $      4.95  

P.O. Box 1059
Anoka, MN  55303

MINNESOTA RESIDENTS
ADD 6.5% SALES TAX                               $           

TOTAL                                                      $           

Print out this order form and fax to Interregional Credit Systems, Inc. at 763-560-1900 or 
mail to:

Interregional Credit Systems, Inc.
P.O. Box 1059
Anoka, MN 55303

Feel free to contact us with any questions or concerns at 1-800-472-1288 
or via email at info@ircsystems.com.  Thank you.