Order Form - Purchase Flex Account Software

Flex Accounts

The Flexible Spending Account Administration Solution

Fast-Flex Plus Purchasing Instructions

The fastest and most convenient way to order cafeteria plan document templates or an updated access code for Fast-Flex Plus is to use the Instant Order Form. Your personal and credit card information will be protected by state-of-the-art encryption techniques and you can receive an updated access code and flex-plan templates instantly from our servers!

Another option is to fill-out both the Instant Order Form and Supplemental Information then print this page with your browser's print button. Next, "snail-mail" this entire page with your check or purchase order, or "snail-mail" or fax it with your credit card information, to Interval Software. When your payment or purchase order is received, you will be e-mailed the information you've requested.

If you want to place your order by phone, we can be reached at 801-544-2314.

Note: You can enter our special FREE permanent access code (123456789) if your organization has 10 or fewer employees. (May require you to update your software.)

Fast-Flex Plus Instant Order Form

	Click here to renew your "pay-as-you-go" 3-month access code	$75.00 minimum
	Other Access Code Purchase Options and Products:
	No Access Code desired at this time
	Small Employer annual access code. (Single Company, 25 or fewer participants, unlimited reimbursement checks.)	$97.00
	Regular Employer annual access code. (Single Company, more than 25 participants, unlimited reimbursement checks.)	$197.00
	Third-party administrator annual access code. (No limit on companies or participants, unlimited reimbursement checks.)	$397.00
	Purchase Fast-Flex Plus Small Employer Version Outright. (One-time cost) Includes Plan Document Templates	$297.00
	Purchase Fast-Flex Plus Regular Employer Version Outright. (One-time cost) Includes Plan Document Templates	$597.00
	Purchase Fast-Flex Plus Third-party Administrator Version Outright. (One-time cost) Includes Plan Document Templates	$1,197.00
	Full Cafeteria Plan Document and Summary Plan Description Templates	$97.00
	Purchase Software on CD ROM (Optional - software is downloadable)	$35.00
	Utah Residents add 6.5% Sales Tax

	To clear form and start over
	Total your order

For manual ordering ONLY, please also complete this section, then print and fax or mail this entire page to:

Interval Software

278 East 650 South

Kaysville, UT 84037

Fax: 801-544-2314

Supplemental Information

Name

Company

Address

Address

City, State, Zip

Email

Name on Credit Card

Credit Card Number

Expiration Date