** ORDER FORM **

Please remit to:

Soft Sector, Inc.
PO Box 81480
Cleveland OH 44181 USA

If paying by credit card:
-------------------------
You can call in your order to: (216) 777-3612

You can fax your order to: (216) 777-3612


   Name: _________________________________________________________

Company: _________________________________________________________

Address: _________________________________________________________

         _________________________________________________________

   City: ______________________________  State: __________________
   
Zip/Postal: ____________________  Country: _______________________

Phone # (optional): ______________________________________________

E-Mail Address: __________________________________________________

Where did you obtain our product? 

__________________________________________________________________

Comments or Suggestions:







Product Description		Price Per Unit	Qty	Total
--------------------------------------------------------------------
ssBarCode v1.0 			$15.00	      x      =

ssImage v1.0			$5.00	      x      =


Shipping/Handling via US Mail	$3.00 (flat rate)    =
       -- or --
Shipping/Handling via E-Mail    $1.00 (flat rate)    = 	

--------------------------------------------------------------------
					Subtotal:

     	         Ohio Residents Add 7% Sales Tax:

					   Total:

Payment Options
---------------

[ ]  MasterCard    [ ]  Visa   [ ]  American Express  

[ ]  Check/Money Order (make payable to SOFT SECTOR, INC.)


If Credit Card...
-----------------

Credit Card #: _______________________________________________________

Expiration Date: ____/____     

Name on Card: ________________________________________________________

Signature: ___________________________________________________________

Registration Benefits
---------------------
For any of our products that you register, you get the following:

- Current version usable in any of your applications
- Technical support via e-mail for one year
- Bug fixes free via e-mail
- Next major update free
- Notification of updates of all our products
- Discounts on our other products
