IBM Customer Number _______________________     Date ___________________

Customer name       ____________________________________________________

Address # 1         ____________________________________________________

Address # 2         ____________________________________________________

Address # 3         ____________________________________________________

City  ________________________    State or Province  ___________________

ZIP or Postal Code  _______________________    Country  ________________

Contact name        ____________________________________________________

Telephone  _______________________    Fax   ____________________________

Email Address __________________________________________________________

i5 System: Serial Number           __________________   (e.g. 1012345)

Model Number  ______ (e.g. 520 or 890) Software Release  _____________ (e.g. V5R4M0)

Processor Feature Code ____  (e.g. 23B1)  Interactive Feature Code ____  (e.g. 7375)


                     The TAA Productivity Tools will be shipped on CD media


Payment is due at time of order.  Delivery by UPS Ground.
Please enclose payment in full (check) or fill out credit card information.

Payment type (check one) __Check  __MasterCard  __Visa  __Amer Express

Credit card number ___________________  Expiration date ___________

When completed, please mail, fax, or e-mail this form to:

Jim Sloan, Inc.
c/o Barsa Consulting Group, LLC.
1 Graham Court
Rye, NY  10580-1600

Phone:  914-251-9494    Fax:    914-251-9406

Web site:  www.taatool.com
 E-mail:  sales@taatool.com