Please print this form and follow the instructions below:
---------------------------------------------------------------------------
DDH Software Order Form
Email, Mail, Fax, or Phone to:

DDH Software, Inc.
PO Box 970971
Boca Raton, Fl 33497-0971
561-967-3668
Fax: 561-649-8012
email: sales@ddhsoftware.com
web: http://www.ddhsoftware.com
---------------------------------------------------------------------------

First Name:____________________      Last Name:____________________________

Street
Address:_____________________________________________________________

City:________________________________________________________________

State:____________________ Zip Code:___________ Country:_____________

Day Phone: _______________________  Eve Phone:_______________________

Email address*:_____________________________________________
*Email Address REQUIRED to receive notice of future updates.

Choose Payment Option:
[ ] *Check or *Money Order (enclosed) [ ] Credit Card
* Please make payable to: DDH Software, Inc.

Choose shipping option:  [ ] Via Email      [ ] Via Mail (*US Only $5 S&H applies for Software)

If Registering by Credit Card:
Check one:  [ ] Visa    [ ] MasterCard  [ ] American Express

Account Holder full name (as it appears on card) :
__________________________________________

Credit Card Account #:
_______________________________________________________________

Expiration Date (MM/YY): ___/___

Product(s) Available:
Enter the Quantity of each item you would like to register:
----------------------------------------------------------------------------
Qty	 Description                   		Price (US $)   	Total
____     Translate + Danish Language	$12.00		$
____     Translate + Dutch Language	$12.00		$
____     Translate + Esperanto Language	$12.00		$
____     Translate + Finnish Language	$12.00		$
____     Translate + French Language	$12.00		$
____     Translate + German Language	$12.00		$
____     Translate + Hungarian Language	$12.00		$
____     Translate + Icelandic Language	$12.00		$
____     Translate + Indonesian Language	$12.00		$
____     Translate + Italian Language	$12.00		$
____     Translate + Japanese Language	$12.00		$
____     Translate + Latin Language	$12.00		$
____     Translate + Mandarin Language	$12.00		$
____     Translate + Norwegian Language	$12.00		$
____     Translate + Portuguese Language	$12.00		$
____     Translate + Spanish Language	$12.00		$
____     Hangman + Wheel of Treasure	$12.00		$
____     Thesaurus/Spellcheck		$15.00		$
____	HanDBase			$24.99		$
____	HanDBase Printed Manual		$5.00		$
	(inc Shipping & Handling. 
	Shipped to US addresses only)
____	Children's Illustrated eTales	$9.98		$
____	HanDButton			$5.99		$
------------------------------------------------------------------------------
			Subtotal				$
			Less any Discount		$
			Shipping & Handling ($5 per disk)	$
------------------------------------------------------------------------------
			Total amount			$

I authorize DDH Software, Inc. to charge the appropriate amount as noted above
for providing the appropriate software as listed above.  Software will be
shipped or emailed as noted above.  I understand that the software is
released as shareware and it is protected by copyright from illegal use
and/or copying.  I also understand that the software is released as is, and
that author is not responsible for any damages that may occur from the use
or misuse of this software.

Signature:_________________________________________ Date:______________