====================== ORDER FORM - begin ============================ ====================================================================== Product name Product ID Price/Unit Quantity Total ---------------------------------------------------------------------- OkPress 3246-2 $ 12 x _______ __________ Mail or fax order $ 2.50 __________ TOTAL AMOUNT ($U.S.) __________ ---------------------------------------------------------------------- First Name _____________________________________________________ Last Name _____________________________________________________ Company _____________________________________________________ Billing Address _____________________________________________________ _____________________________________________________ City _____________________________________________________ State/Province _____________________________________________________ Zip/Postal Code _____________________________________________________ Country _____________________________________________________ Phone _____________________________________________________ E-mail Address _____________________________________________________ Important! Please double-check that your e-mail address is correct. If it will not, we'll be unable to send you the registration code. Payment Method [ ] Credit Card [ ] Check [ ] Money Order [ ] Purchase Order For Credit Card Orders Name on Card _____________________________________________________ Type of Card [ ] VISA [ ] Mastercard [ ] American Express [ ] Discover (Novus) [ ] Eurocard Card Number _____________________________________________________ Expiration Date Month __________________ Year ____________________ Signature _________________________ Date ____________________ ====================== ORDER FORM - end ============================== Mail or fax this form to: Register Now! Phone 877-353-7297 (Toll Free, USA, Canada) Dept# 3246-2 425-392-2294 (Regular, International) PO Box 1816 Issaquah, WA 98027 Fax 888-353-7276 (Toll Free, USA, Canada) United States of America 425-392-0223 (Regular, International) ______________________________________________________________________