                       ORDER FORM FOR STRETCH BREAK PRO                            
    ==================================================================

    COMPLETE THIS FORM AND SEND WITH CHECK OR MONEY ORDER 

               Name:________________________________________

            Company:________________________________________

     Street Address:________________________________________

                    ________________________________________

  City, State, ZIP: ________________________________________

             Phone: ________________________________________

            E-mail: ________________________________________
 
                                                                           
  STRETCH BREAK PRO  US $44.95 x ____  unit(s) =      $__________ 

  California residents add 7.75% sales tax            $__________ 

  Shipping & Handling:                                        
      Continental  U.S.             $   4.00                    
      Canada, Mexico                $   6.00                    
      International                 $  10.00                    
      2 day USA                     $   8.00                    
      Overnight USA                 $  16.00                    
                                                      $ _________ 

                                  TOTAL:              $ _________ 
                                                                         
      FOR MAIL OR FAX CREDIT CARD ORDERS                     

Fax them to 714-546-4607 or send this form with the information below.
 _______________________
|                       |  Name As It Appears 
| Please make checks    |  On Credit  Card:____________________________
| payable to:           |   
|                       |  Card Number: _______________________________
| Para Technologies     |
| 3273 Indiana Avenue   |     VISA[ ]
| Costa Mesa, CA  92626 |     MC  [ ]  
|                       |     AmEx[ ]  
| Voice:  714-546-8619  |     DISC[ ] 
| FAX:    714-546-4607  |
|_______________________|  Expiration Date ___/___

                           Signature: _________________________________

You can also place credit card orders by sending the above information
by e-mail to paratech@earthlink.net or call in your credit card order
to 714-546-8619 between 9am and 7pm Pacific Coast Time. 

