MSTR Technology MaSTeRs of Finite Element Technology. 17 Appleton Road Rexford, New York 12148 1-518-584-3754 Fax 1-518-580-9525 This order must be faxed for consideration!!		PRODUCT ORDER FORM
The following number must appear on all related correspondence, shipping papers, and invoices: P.O. NUMBER:

To:	Ship To:

P.o. Date	requisitioner	Ship via	f.o.b. point	terms

Qty	ITEM	DESCRIPTION	Unit Price	Total Price
			$	$
			$	$
			$	$

SUBTOTAL							$
SALES TAX
SHIPPING & HANDLING							$0.00
OTHER
TOTAL							$

1. This order form must be accompanied with your purchase order authorization. 2. Send all correspondence to: Rick Morrow MSTR Technology 17 Appleton Road, Rexford, NY 12148 1-518-584-3754; Fax 1-518-580-9525

Payment Method (circle one): VISA M/C AMEX Credit Card Number Exp. Date: __________________________________ Signature and Date