Yes, I’d like to order an EASI Dissemination License!

Name ________________________ Title ___________________________

Company __________________________________________

Address ___________________________________________

City __________________________ State ___ ZIP ________

Phone (_____) ___________________ Fax (_____) ___________________

Email ________________________________

(___) The Right Site ® for the Web – Executive Report – Dissemination Use ($833.33 Monthly - $10,000 Annual)

(___) The Right Site ® for the Web – Professional Reports – Dissemination Use ($2083.33 Monthly - $25,000 Annual)

(___) The Right Site ® for the Web – Advanced Reports - Dissemination Use ($7916.67 Monthly - $95,000 Annual)

(___) The Right Site ® for the Web – Census 2000Report - Dissemination Use ($75.00 Monthly - $900 Annual)(All key 4/1/2000 Census data in pre-arranged reports)

(____) Dissemination Users (Licensee must provide a detailed list of their market and potential users)

(____) Approximate Number of Users

(____) Please give me a call to answer my questions

Details/ Locations/ Sites/ etc. _______________________________________________________

Note: There are additional not-for-profit or government discounts available.

FAX to 856 931 4115 to the attention of: Robert Katz