TextPad Order Form (world-wide)

Payment may be made with a check, or various credit cards, in US dollars. However, please note that credit cards are charged in UK pounds, at the current exchange rate. See the Price List for dollar prices, and return the completed Order Form below.

Licenses required:
    [  ] 1, [  ] 5, [  ] 10, [  ] 15, [  ] 20, [  ] 25, [  ] 30, [  ] 40, [  ] 50,
    [  ] 100, [  ] 200, [  ] 300, [  ] 400, [  ] 500

Price:	__________
CD-ROM ($18.00):	__________
Total amount paid:	__________

Method of Payment:
    [  ]Check, [  ]MasterCard, [  ]VISA, [  ]AMEX,
    [  ]JCB, [  ]EuroCard, [  ]DELTA

Credit Card Number:	_________________________
Expiry Date:	____/_____
Name On Card:	_________________________
Your Name (if different):	_________________________
Company:	_________________________
E-mail Address:	_________________________

Billing Address:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Country: ___________________

Please send this completed form with your check (if appropriate) to:

Helios Software Solutions
PO Box 619
LONGRIDGE
PR3 2GW
England
FAX: +44 (0)1772 786375
E-Mail: sales@textpad.com

Thank you for your interest in this product.