     *** U.S. ORDER FORM AND SPECIAL OFFERS ***

          Secure Online Ordering at:  http://www.ultisoft.com

          Name             ______________________________

          Company          ______________________________

          Address          ______________________________

          City/State       ______________________________

          Zip Code         ______________________________

          Country          ______________________________

          Phone            ______________________________

          EMAIL ADDRESS    ______________________________
                         If you include your email address, we can
                         send you the registration code immediately.

   I AM ORDERING:

        (  ) 3D PULSOID       (US $15)

     INTERNATIONAL ORDERS
     --------------------
     Please add $4.00 for shipping if you live outside North America.
     For shipping to Canada or Mexico, add $2.00. Payment must be in
     U.S. funds drawn on a U.S. or Canadian bank. (no charge for
     shipping within the U.S.)

     Amount Enclosed: $_________

     Make your check or money order payable to ULTISOFT.

     Mail payment and registration form to:    ULTISOFT
                                               PO Box 5015
                                               Central Point, OR 97502
                                               USA
     Payment Method:
                     ___ Check   ___ Money Order   ___ VISA   ___ MasterCard

     Credit Card Number #_____ - _____ - _____ - _____   expires ____/____

     For credit card orders:  Call 1-800-925-3147 (U.S. and Canada)
                                   1-541-664-1885 (International)
                                   1-541-664-3403 (FAX)

     Order Online at:         http://www.ultisoft.com

