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 COMPELSON LABS ORDER FORM
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 SECURITY OFFICER 2.0 (Software only version for Windows 95/98)
 -- $29 USD -- No. of Units: ___________________________________________

 SECURITY OFFICER 2.0 PROFESSIONAL (Software only version for Windows
 95/98) -- $59 USD -- No. of Units: ____________________________________

 SECURITY OFFICER 2.0 PROFESSIONAL (with PCS 202, version for Windows
 95/98) -- $69 USD -- No. of Units: ____________________________________

 SECURITY OFFICER 2.0 PROFESSIONAL (with PCS 302, version for Windows
 95/98) -- $99 USD -- No. of Units: ____________________________________
 
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 SIMedit! 3.5 (with PCS 302) -- $99 USD -- No. of Units: _______________

 SIMedit! 3.5 (with PCS PCMCIA) -- $149 USD -- No. of Units: ___________

 SIMedit! 3.5 (software only, Electronic Delivery) -- $69 USD --
 No. of Units: _________________________________________________________

 SIMedit! 3.5 (software only, Physical Delivery) -- $79 USD --
 No. of Units: _________________________________________________________

 SIMedit! 3.5 (software upgrade from Version 2.0, Electronic Delivery)
 -- $39 USD -- No. of Units: ___________________________________________

 SIMedit! 3.5 (software upgrade from Version 2.0, Physical Delivery)
 -- $49 USD -- No. of Units: ___________________________________________

 SIM ADAPTERS:

 Small SIM Card Adapter for PCS 302 (allows the PCS 302 to read and
 write to small format SIM cards) $10 USD -- No. of Units: _____________

 Small SIM Card Adapter for PCS PCMCIA (allows the PCMCIA to read and
 write to small format SIM cards) $7 USD -- No. of Units: ______________

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 TOKEN ID 1.5 (Version 1.5 for Windows NT, price includes two chip
 cards) $190 USD -- No. of Units: ______________________________________

 DATA OFFICER 4.0 (Version 4.0 for DOS, Windows 3.x or Windows 95/NT)
 $190 USD -- No. of Units: _____________________________________________

 CRYPTO OFFICER 2.5 (Version 2.5 for DOS, Windows 3.x or Windows 95/NT)

   - DES Algorithm, $69 USD -- No. of Units: ___________________________

   - High Security Algorithm, $89 USD -- No. of Units: _________________

 PERSONAL CARD SYSTEMS:

   - MODEL 302 (Enhanced model with support for smart cards and SIM
     cards) $99 USD -- No. of Units: ___________________________________

   - MODEL 202 (The microprocessor controlled chip card peripheral for
     PCs) $79 USD -- No. of Units: _____________________________________

   - MODEL PCMCIA (Perfect for notebook users!)
     $149 USD -- No. of Units: _________________________________________

   - MODEL TIRIS (Radio frequency card system including basic security
     software) -- $99 USD -- No. of Units: _____________________________

   - MODEL EM (Radio frequency card system including basic security
     software) -- $99 USD -- No. of Units: _____________________________

 BLANK & FORMATTED CHIP CARDS:

   - ST 1402, 256 bytes, re-writable -- $4 USD -- No. of Units: ________

   - HiCard 202, 512 bytes, re-writable, PIN security -- $9 USD
     No. of Units: _____________________________________________________

   - Tiris Contactless, read-only -- $7 USD
     No. of Units: _____________________________________________________

   - Tiris Contactless, read/write, 1024 bit -- $9 USD
     No. of Units: _____________________________________________________

   - Impro Contactless, read-only -- $13 USD
     No. of Units: _____________________________________________________

   - EM Contactless, read-only -- $8 USD
     No. of Units: _____________________________________________________

 CHIP CARD PRINTING (Full colour printing for chip cards.  Scanned
 photos, etc., one-sided.) $1.90 USD -- No. of Units: __________________


 TOTAL IN US DOLLARS: __________________________________________________

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 SHIPPING ADDRESS:

 Name: _________________________________________________________________

 Address: ______________________________________________________________

 City:__________________________ Province/State: _______________________

 Country: _____________________ Postal/ZIP Code: _______________________

 Email: _____________________________ Telephone: _______________________

 PLEASE INDICATE YOUR SHIPPING PREFERENCE:

 ____  Airmail ($18 USD, 1-3 weeks)
 ____  DHL Parcel Express ($77-$110 USD depending on location, 1-3 days)

 BILLING ADDRESS

 * Please skip this if your shipping and billing addresses are the same

 Name: _________________________________________________________________

 Address: ______________________________________________________________

 City:__________________________ Province/State: _______________________

 Country: _____________________ Postal/ZIP: _______________________

 Email: _____________________________ Telephone: _______________________

 CREDIT CARD INFORMATION:

 Credit Card Type: ______________ Name on Card: ________________________

 Card Number: __________________________ Expiration Date: ______________

 Issuing Bank: ___________________ Signature: __________________________

 * Please print and fax this form to: +420 2 6631 6774 or mail it
 to: Compelson Labs, Drahobejlova 54, 190 00 Prague 9, Czech Republic

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