TeleBack(tm) Order Form


    TO:                                    Date: _____________________
        WEB Software & Consulting, Inc.
        1568 S. Spring Garden Ave.
        DeLand, FL  32720-8409
        USA

    FROM:
          Name: ______________________________________________________

     [Company]: ______________________________________________________

      Reg Name: ______________________________________________________
                [Used to register your software]

       Address: ______________________________________________________

          City: ____________________________ State: __________________

       Country: ____________________________ Postal Code: ____________

     Phone: ___________________________ Fax: _________________________

 CompuServe ID: ________________ Internet ID: ________________________

    ========================================================================

    See TERMS below for payment methods.

    TeleBack(tm), The Professional Remote Backup System.            $ 199.00

    TeleBack Add-Ons:

        Multi-User TBHost - add $99.95                                ______

        TB-Invoice -------- add  69.95                                ______

        Order both for $129.95                                        ______

    Florida, USA residents add 6 percent sales tax                    ______

    Shipping and handling for US residents (via 2-day) add $12.00     ______

    For orders outside the USA, add $35                               ______

                                                     TOTAL ENCLOSED   ______

    ========================================================================

    1)  How did you find out about TeleBack?

	( ) Friend, co-worker	    ( ) BBS ______________________________
	( ) Other ________________________________________________________
                                            
    TERMS:

    Call for credit card orders. We accept VISA and MasterCard.
    All prices listed are in US Funds.

    Order line phone number is 904-943-9977

    Payment may be made by check, US POSTAL Money Order or International
    Money Order in USA funds payable through a USA bank and made out to
    WEB Software & Consulting, Inc.  Payment may also be made by bank wire
    transfer.  Please write for transfer details.