Jadeware MAIL & E-MAIL Order Form 

Name (Please Print) ________________________________________________________
Address ____________________________________________________________________
City _________________________ State/Province ______________________________ 
ZIP/POSTAL CODE ___________________ Country  _______________________________ 
Phone/Fax __________________________________________________________________

Signature:   ________________________________________   *** Thank you! ***

PRODUCT  (ON CD)                         US/CAN          EUROPEAN

ULTRANIUM:
[ ] ULTRANIUM 1                          $15.00        14 Euro / 90FF
[ ] ULTRANIUM 2                          $20.00        18 Euro / 115FF
[ ] ULTRANIUM 3D                         $25.00        23 Euro / 149FF
[ ] ULTRANIUM 1,2 & 3D                   $40.00        36 Euro / 239FF

SHIPPING CHARGES:                      | TOTALS:
[ ] USA/CAN: $5, EUROPE: 4 Euro / 25FF |      Charges: $/Euro/FF____________
[ ] All other countries: $10           |      Total:   $/Euro/FF____________


Make checks payable to "jadeware".  
Allow one to three weeks for delivery.

Mail to:  Jadeware
          1 rue du petit biard
          95690 LABBEVILLE	FRA

E-Mail to: order@jadeware.org


-=-=-+ If you have the time..... +-=-=-

Where did you get ULTRANIUM from?

Downloaded from:
[ ]        BBS: Name: ______________________________________________________
[ ]        Internet FTP Site: Site Name: ___________________________________

Other:
[ ]        A friend gave it to me
[ ]        None of the above
[ ]        Unknown