Stellar Day Products, Corp..
Order Form

BackupWhileISleep                            Qty UnitPrice Total Amt

BackupWhileISleep Software...................______  $99.00 
Offsite Storage (1 year).....................______  Free
2 GB Flash Drive.............................______  Free

Total Order.........................................._______

Please fill out both sheets and mail to:

Stellar Day Products, Corp.
P.O.Box 2524
Chesterfield, VA  23832

Please mail this form to the above address:  
                                  (VA Churches)

__________________________________ Tax Exempt #___________________
Business Name                    (Include exemption form**)     

______________________________________________________Contact Name

______________________________________________________Mailing Address

______________________________________________________City, State, Zip

Business Phone (___)________ Contact Phone ___)__________

Email Address _____________________________________ 

Payment Method

( )Check/Money Order Payable to: Stellar Day Products, Corp.

Name on Credit Card_____________________________________________

Card #______________________________________ Exp DT: _____/_____

( )MasterCard ()Visa ()Discover ()American Express

Churches/Non Profits.. Read following **
In order to qualify for exemption, tangible personal property must be purchased by, invoiced to and paid for directly by the nonprofit church.  Purchases by the minister from his own funds, purchases by affiliated religious associations, and purchases by church members or others for donation to the church are subject to tax.
(Va State Code 23VAC10-210-310.Churches)

Other States

You may be subject to a usage tax for purchasing this item. Check your states code for tax requirements.