Please print this form and fill out all applicable fields below.

Mail check or money order (payable to FedQuest) to:
William Haaf
FedQuest
18050 Chalet Drive, No. 201
Germantown, MD 20874

Name	_____________________________________________________

Address	_____________________________________________________

	_____________________________________________________

City	_____________________________________________________

State	_____________________________________________________

ZipCode	_____________________________________________________

Country*_____________________________________________________

Phone	_____________________________________________________

Email	_____________________________________________________

Date	_____________________________________________________


Product Information:

Product	Name*	[ ] FedQuest Gold for Microsoft Word, by e-mail attachment ($29.95)
		[ ] FedQuest Gold for Microsoft Word, on CD-ROM & e-mail attachment ($39.95)
		[ ] FedQuest Gold for WordPerfect, by e-mail attachment ($29.95)
		[ ] FedQuest Gold for WordPerfect, on CD-ROM & e-mail attachment ($39.95)

*CD orders shipped only to U.S. addresses.