                        ***************************
                        * PIPX PRODUCT ORDER FORM *
                        ***************************

   QTY       PRODUCT                               PRICE EA       TOTAL
  _______________________________________________________________________

  _____   PIPX - Driver Software Only               $69.95       ________

  _____   PIPX - Driver Software W/CABLE            $89.95       ________

             Select:  ___ 4BIT Cable
                      ___ 8BIT Cable

  _____   Parallel Port TurboCable                 $149.95       ________
             Universal High Speed Parallel Cable
             Supports 4BIT, 8BIT, EPP
             Transfer rate to 800 Kbytes/sec
             Includes 2 6ft M-M Cables

  _____   4-BIT CABLE Only                          $29.95       ________

  _____   8-BIT CABLE Only                          $29.95       ________

                 Shipping and Handling (Domestic UPS Ground):       $5.00
           (Call for Alternative shipping or foreign quotes)

                     Washington Residents Add 8.2% Sales Tax:    ________

                 (COD Shipments - ADD $3.00 Handling Charge):    ________

                                                 Total Order:    ________

          Inquire regarding Site Licenses and Volume Discounts

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Payment Method (Check One): Check:____ COD:____ VisaCard:____  Mastercard:____


Ship To:                                 Credit Card Information:

_____________________________________    _______________________________________
          (Name)                                (Name - As Shown on Card)

_____________________________________    _______________________________________
         (Company)                         (Signature - Required for Charges)

_____________________________________    _______________________________________
         (Shipping Address)              (Visa/Mastercard #)   (Expiration Date)

_____________________________________    _______________________________________
         (Shipping Address)                           (Address)

_____________________________________    _______________________________________
 (City)              (State)   (Zip)      (City)              (State)   (Zip)

_____________________________________    _______________________________________
 (Telephone #)       (FAX #)

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FAX OR MAIL TO:  Parallel Technologies, Inc.           Tel: (206) 869-1136
                 P.O Box 7                             Fax: (206) 869-9767
                 Redmond, WA  98073-0007
