Esm Software's Amazing JPEG Screen Saver for Windows

	           Order Form

Please send registered copies of the Amazing JPEG Screen Saver to:

Name:		_______________________________________

Address:	_______________________________________

		_______________________________________

		_______________________________________

		_______________________________________


E-Mail 		_______________________________________


Please specify the version: _______ 16-bit Windows 3.x (also runs under Win95)

                            _______ 32 -bit Windows 95 / Windows NT

Enclosed find a cheque or money order payable to Esm Software  for


______ Copies Registered Version .....................$14.95 each


	Shipping and Handling .........................  $ 4.00 

        Save on Shipping and Handling send by E-mail ______ (Check Here)
						Total: 	______________


  For Master Card order please fill in the following information
and mail to the address below or fax it to (514) 626-6577.

Cardholder's Name:_________________________________________

Card Number (16-digits): _________ - _________ - _________ - _________

Valid From: _____/_____    Valid To: _____/_____

Four digit code above the Careholder's Name: _____________

Telephone number: ___________________________________

Signature _________________________________

Candian GST# R138344668  /  Quebec PST# 1016811544

*(Canadian orders can be paid in Canadian dollars)
**CompuServe customers can order using CompuServe's Shareware   Registration.  
   GO SWREG  # 8476 16-bit version
             # 9827 32-bit version

Send order to :
	Esm Software
	c/o Amazing JPEG Screen Saver
	P.O. Box 176
	Pierrefonds, Quebec
	H9H 4K9, Canada

Internet: Esm.Software@netaxis.qc.ca
http://ourworld.compuserve.com/homepages/esmsoftware
CompuServe:  102762,2715
