

Date  	   _______________________

Name	   _________________________________________________

Company	   _________________________________________________

Address	   _________________________________________________

	   _________________________________________________

City	   ____________________________________	

State/Providence ________________________       Zip/Postal Code __________________

Country	   ______________________________

Phone	   __________________________

Fax	   __________________________


How are you paying	( MC )   (VISA )   ( COD / domestic orders only )

CC #	_____________________________________________	

CC Expiration Date (MMYY)   ______________ 


UPS Domestic Shipping Info	 $16.00 Over Night
				 $10.00 Second Day
				 $6.00  	Ground, 3 - 5 Days

International Shipping Info	UPS Express - $45 and up, average $55 (1-3 days)
				US Air Mail - $30 (1-2 weeks)

		 
  		 GigaSoft ProEssentials Quantity ______  X  $349.00  =	__________________

    				    	                  Shipping fee	__________________
	
					                         Total	__________________

                       Texas companies / residents add 7.75% sales tax	__________________

					                   Grand Total	__________________

Fax this completed form back to Gigasoft, Inc.  (817) 431-9860