WeFax for Windows Order Form
---------------------

Please include your email address if you would also like to 
receive your serial number and activation key by email.  

Name:_____________________________________________________________

Call Sign:_____________	

Email address: ___________________________________________________

Street Address:___________________________________________________

City:_____________________________________________________________

State or Province:____________________  Country:__________________

Zip code or Country code:_____________  Phone No.:________________


Select the version appropriate for your TNC
______ Kantronics TNCs		_______ Timewave or AEA TNCs

____ Number of WeFax for Windows copies

____ Email me my serial number and activation key

____ Serial number and activation key only 
     (US $69.95 each)
     [Software downloaded from the Internet]

____ Send copy of Software on CD
     (US $69.95 plus US $7.00 shipping and handling)

____ Upgrade from version 1.X of WeFax 99 to Version 2.0 
     (US $29.95)

____ WeFax for Windows Manual 
     (US $15.00 with software, $20 separately)
     (add US $7.00 shipping and handling)

____ ICOM Computer Interface Cable with any purchase (US $25.00)
     ($7.00 Shipping & Handling if only item being shipped)

** Shipping and handling should be added to all shipped orders. 
Domestic shipments: $7.00 software, manuals and cables
Contact us for shipments to other destinations.

I am paying by (check one):

___ Check (US banks only)  ____ Money Order (US $ only)

___ MasterCard  ___ VISA   ____ Discover Card

If paying by Credit Card, complete the following.

Credit Card Number: _______________________________

Name on credit card: ______________________________

Expiration date: ________________

Signature: ________________________________________

Credit Card Billing Address if different from shipping address:
Street Address:___________________________________________________
City:_____________________________________________________________
State or Province:____________________  Country:__________________
Zip code or Country code:_____________  

Payment can be sent by surface mail or FAX to:

Creative Services Software, Inc.
503 W. State Street, Suite 4
Muscle Shoals, AL 35661, USA
Telephone: 256-381-6100
FAX: 256-381-6121

If you need additional information or have questions,
contact by email at the following address.
Email: sales@cssincorp.com