Lightning Software
FaxBack Plug-in Order Form

Attn: Lightning Software Sales
Fax: 972-9-9514869

Fill in the form below and fax to the number listed above

Select one or more of the following Plug-in's:

    ____ WaveGenerator 1.5	 $30.00 (US)  
	 
    
The Plug-In will be sent to you via E-Mail as soon as we clear your
order. Check below if you want to receive it using snail mail.

   ____ Snail Mail (4.5$ Shipping & Handling cost).   

Delivery information:

    Name:            _____________________________________________

    Email:           _____________________________________________

    Address:         _____________________________________________

                     _____________________________________________

    Zip/Postal code: _____________________________________________

Payment Method:

    ____ Check (Enclosed-for use with snail mail)

    ____ VISA	____ MasterCard   ____ American Express
 
	
    Card number:     _______________________________ Exp: ________

    Signature:       _____________________________________________

    Comments:        _____________________________________________

                     _____________________________________________



 *********************************************** 
 * All Checks & credit card orders payable     * 
 * to ASIMETRY LTD. - Lightning Software's     * 
 * direct distributor.                         * 
 *********************************************** 

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