CAP order form
=====================================================================

Mail this form to:	Universal Commerce, Inc.
			ATTN: Orders
			PO Box 1816
			Issaquah, WA 98029
			United States of America

Or fax it to:		1 888 353-7276 (U.S. and Canada; toll-free)
			1 425 392-0223 (other countries; regular)

Or just call: 		1 877 353-7297 (U.S. and Canada; toll-free)
			1 425 392-2294 (other countries; regular)


Check, money order, purchase order or credit card order accepted
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Note: for mailed orders, the checks need to be made out to Universal
Commerce Inc. The product ID (2024-9 for CAP Unlimited License or 
2024-9 for CAP Personal License) should be mentioned on the "memo" 
of the check. Checks and money orders should be drawn in US Funds. 
A purchase order must be faxed or mailed to the address listed above 
with all necessary information including billing information.


Order Information
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
CAP                           Price/Unit     Quantity         Total
---------------------------------------------------------------------
Personal license  (2024-6)      $39.00         ____           ______
Unlimited license (2024-9)     $399.00         ____           ______
Mail or fax order                $2.50                        ______

TOTAL AMOUNT ($U.S.)			      		   _________

Note: if you place an order by fax (with credit card), or pay with
check, money order or purchase order, please include additional
$2.50 (see above). Otherwise, your order will not be processed. If 
you place an order by phone, you'll be charged for additional $3. 
For online orders, there are no additional charges.


Payment Information
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
First Name:      ____________________________________________________
                                                                     
Last Name:       ____________________________________________________

Company:         ____________________________________________________

Street Address:  ____________________________________________________

                 ____________________________________________________

City: 		 ____________________________________________________

State/Province:  ____________________________________________________

Zip/Postal Code: ____________________________________________________

Country:         ____________________________________________________

Daytime Phone:   ____________________________________________________

Fax:             ____________________________________________________

Email Address:   ____________________________________________________

Payment:         __ MasterCard    __ VISA     __ AMEX     __ Discover
                 __ Check      __ Money order       __ Purchase order


For credit card orders:

Name on Card: _______________________________________________________

Credit Card Number: _________________________________________________  

Expiration Date: month _______________ year (4 digits) ______________


                Signature : ____________________  Date: _____________