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

    COMPLETE THIS FORM AND SEND WITH CHECK OR MONEY ORDER 

               Name:________________________________________

            Company:________________________________________

     Street Address:________________________________________

                    ________________________________________

  City, State, ZIP: ________________________________________

             Phone: ________________________________________

            E-mail: ________________________________________
    -----------------------------------------------------------------
 
____ STRETCH BREAK @ $24.95      $_______                                  
                                                                             
____ STRETCH BREAK PRO @ $44.95  $_______  (Contains additional stretches and                                
                                            allows you to select stretches)   
                                               ____________________________  
     California residents please              |                            |
     add 7.75% sales tax:        $_______     | Please make checks         |
                                              | payable to:                |
         Subtotal                $_______     |                            |
                                              | Para Technologies          |
                                              | 3273 Indiana Avenue        |
     Shipping and Handling (USA) $   4.00     | Costa Mesa, CA  92626      |
                                   -------    |                            |
                                              | Voice:  714-546-8619       |
                                              | FAX:    714-546-4607       |
                        Total    $________    |____________________________|

                                                                           
         FOR MAIL OR FAX ORDERS WITH MASTER CARD OR VISA                    

    Fax them to 714-546-4607 or send in this form with the information below.

    Name As It Appears 
    On Credit  Card:__________________________________________

    MC/VISA # __________________________________________

    MC [ ]  VISA [ ]  (Check one)

    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.