PenRight! Order Form
                              
To order, fill out and mail / fax us this form or you can call us
                directly to place your order.
                              
Product               Price       Quantity     Total
PenRight! for         $595.00                  
Windows v1.0
PR Pro v3.6           $595.00                  
                                               
                                  Shipping *   
                                  Total Order  $
                                  Cost
                              
*Shippi                 
ng
Country Overni  2Day    Grnd      Ship via my carrier
        ght
U.S.    $18.00  $8.00   $7.00     Carrier:
Interna N/A     TBD     TBD       Number:
tional
                              
                              
                              
Shipping Information:             Bill To Information if
                                  different from shipping
Name:                             Name:
Company:                          Company:
Address:                          Address:
                                  
                                  
Phone:                            Phone:
Fax:                              Fax:
                              
                              
                              
                              
Payment Method (Circle one):      Credit Card Information:
Master Card            Visa       Name:
PO#
Check Enclosed                    Card Number:
                                  Expire Date:
                                  Signature:
                              
                              
                              
                              
                       Call or Fax to:
                       PenRight! Corp.
    47358 Fremont Blvd.             Phone: (510) 249-6911
    Fremont, CA 94538               FAX:   (510) 249-6920