BASICS & BEYOND, INC.
SECURE BTB TAX PLANNER ORDER FORM

Please send the 2015 BTB Income Tax Planner to:
First Name	*
Last Name	*
Firm Name
Address (1)	*
Address (2)
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State	*	- - Choose One - - AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT
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E-mail	*
Please select your delivery method:	*	B-T-B Tax Planner Download Version only B-T-B Tax Planner Download Version plus CD (includes shipping)
Confirmation Code	*
To pay with your CREDIT CARD, Select "Don't have a PayPal Account" on next screen.