				ORDER FORM

This order form may be FAXed to (603) 424-9300 or mailed to Klos 
Technologies, Inc. 604 Daniel Webster Highway, Merrimack NH 03054.  
Please print clearly.

Name:    _____________________________________________________________

Company: _____________________________________________________________

Address: _____________________________________________________________

         _____________________________________________________________
		
City:    __________________________  State/Province: _________________

Country: __________________________  Postal/Zip Code: ________________

Phone:   __________________________  Fax: ____________________________

E-mail:  _____________________________________________________________

	       Product              Quantity     Price      Total
    =================================================================
    | Register PPP               |            |  $10.00  |          |
    |   Shipping via E-MAIL      |            |          |          |
    |----------------------------|------------|----------|----------|
    | Register PPP               |            |  $18.00  |          |
    |   with Manual and Diskette |            |          |          |
    |----------------------------|------------|----------|----------|
    | Full Retail Version PPP    |            |  $32.95  |          |
    |   with Manual and Diskette |            |          |          |
    =================================================================

Domestic shipping for manual(s) and diskette(s) via UPS is included.
For other services or international orders please call sales at
(603) 424-8300 or contact sales via e-mail at sales@klos.com.

     ___  VISA           ___  American Express  ___  Check
     ___  MasterCard     ___  Discover          ___  Purchase Order*

				
__________________________  ___/___/___  _____________________________
    Credit Card Number       Exp. Date             Signature

* If paying with a Purchase Order, please fax or mail the purchase 
  order with this form.
