TextPad Order Form for non-European Countries

Payment may be made with a cheque in US dollars, or various credit cards. See the Price List for current pricing, and return the completed Order Form below.

TextPad Licenses Required:

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

Price: __________
CD-ROM ($16.00): __________
Total amount paid: __________

Method of Payment:

    [  ]Cheque, [  ]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 cheque (if appropriate) to:

Helios Software Solutions
PO Box 619
LONGRIDGE
PR3 2GW
England
E-Mail: sales@textpad.com

Thank you for your interest in this product.