Purchase order
==============

Please send me ___ copies of POTP(tm) Secure FTP at $198 each.



     Name: ______________________________________________

(Company): ______________________________________________

  Address: ______________________________________________

           ______________________________________________

     City: ______________________________________________

    State: _____________     

      ZIP: _____________

 Country): _____________

Telephone: _________________________  

      FAX: _________________________

Shipping & Handling (Postal) US & Canada $5.00 per item
Outside US & Canada $10.00 per item

TOTAL ENCLOSED US FUNDS  US$________

MasterCard __ or VISA __ or American Express __ or Diners Club International


              Total $US ___________

        Expiration Date ______________

            Card Number ____________________________________

Card Holder's Signature ____________________________________



In USA and CANADA                             Elsewhere
=================                             =========
Fax to: 1-416-223-4041                        Fax to: +972-4-550356
or                                            or
e-mail to: sales@potp.com                     e-mail to: sales@elementrix.co.il