Jadeware MAIL & E-MAIL Order Form 

Name (Please Print) ________________________________________________________
Address ____________________________________________________________________
City _________________________ State/Province ______________________________ 
ZIP/POSTAL CODE ___________________ Country  _______________________________ 
Phone/Fax __________________________________________________________________

Signature:   ________________________________________   *** Thank you! ***

PRODUCT                                    US/CAN            EUROPEAN

ULTRANIUM:
[ ] ULTRANIUM 3.5"                         $15.00          75FF / 12 Euro
[ ] ULTRANIUM CD                           $15.00          75FF / 12 Euro

SHIPPING CHARGES:                      |TOTALS:
[ ] USA/CAN: $5, EUROPE: 20FF / 4 Euro |Shipping and Handling charges: $/FF/Euro____________
[ ] All other countries: $10           |                        Total: $/FF/Euro____________


Make checks payable to "jadeware".  
Allow one to three weeks for delivery.

Mail to:  Jadeware
          1 rue du petit biard
          95690 LABBEVILLE	FRA

E-Mail to: jadeware@hotmail.com


-=-=-+ If you have the time..... +-=-=-

Where did you get ULTRANIUM Episode 1 from?

Downloaded from:
[ ]        BBS: Name: ______________________________________________________
[ ]        Internet FTP Site: Site Name: ___________________________________

Other:
[ ]        A friend gave it to me
[ ]        None of the above
[ ]        Unknown