
                    ***AUS ORDER FORM AND SPECIAL OFFERS***

          Secure Online Ordering at:

          http://www.shareware-australia.com/ultisoft/index.htm


          Name             ______________________________

          Company          ______________________________

          Address          ______________________________

          City/State       ______________________________

          Zip/Postal Code  ______________________________

          Country          ______________________________

          Phone            ______________________________

          EMAIL ADDRESS    ______________________________
                         If you include your email address, we can
                         send you the registration code immediately.

     I AM ORDERING:

        (  ) 3D PULSOID         (AUS $25)


     POSTAGE & PACKING
     -----------------
     Please add $8 (AUS) for postage and packing charges if you need
     the software to be sent to you. If you already have the software
     and only require the registration code, then there is no P&P charge.

     Amount Enclosed: $_________

     Make your cheque or money order payable to SHAREWARE AUSTARLIA.

     Mail payment and registration form to:    SHAREWARE AUSTRALIA
                                               PO Box 1075
                                               Maroubra NSW 2035
                                               AUSTRALIA
     Payment Method:
     ___Check  ___Money Order  ___BankCard  ___VISA  ___MasterCard  ___AMEX

     Credit Card Number #____________________________   expiry ____/____

     For credit card orders:  Call (02) 9565-2339 (Order and Information)
                                   (02) 9565-2362 (FAX)

     Order Online at: http://www.shareware-australia.com/ultisoft/index.htm

