
                                       Order Form
                   Just fill in and print out then mail to us with your check

 
   Name:    _______________________________________________________________________

   Address: _______________________________________________________________________

            _______________________________________________________________________

   Country  _____________________

   Telephone #_____________________________________________________________________

   Extra Telephone # ______________________________________________________________


   email address __________________________________________________________________

   next email address _____________________________________________________________




   Cost:   
       Site License:  yes ____    no ____   $250 one time flat fee
                  OR
       Number of individual copies  _______   *   $20.00  =  $_____.__


   Send WaveLogo to you via email(preferable):  no ___  yes ___
    
   Send to us via disk:  no __     yes __  (if yes) 3.5___  or 5 1/4 __

    Mail To:
	Wave5 Software
	P.O. Box 7767
	McLean VA 22106

   