ORDER FORM FOR REGISTERED VERSION OF STRETCH BREAK                            
    **********************************************************************

    NAME:____________________________________________________________
                                                                
    COMPANY:_________________________________________________________
                                                                
    STREET:__________________________________________________________
                                                                
    CITY:____________________________ STATE:_____ ZIP:_______________
                                                                
    COUNTRY: _________ TEL: ________________ FAX: ___________________ 
 
    E-MAIL: _________________________
                                                                
    STRETCH BREAK  US $24.95 x ____  unit(s) =      $__________     
    Shipping & Handling:                                        
      Continental  U.S.             $   4.00                    
      Canada, Mexico                $   6.00                    
      International                 $   8.00                    
      Express USA                   $  20.00        $ _________ 
    Subtotal:                                       $ _________ 
    California residents add 7.75% sales tax        $ _________ 
                                    TOTAL:          $ _________ 

                                                                
    Please send CHECK or MONEY ORDER to:                        
    ***********************************                         

                    Para Technologies
                    P.O. Box 1109
                    Costa Mesa, CA  92628-1109

                    Tel: 714-546-4607



    For MAIL, FAX, OR E-MAIL orders with MASTER CARD, or VISA:   
    **********************************************************

    Fax this form to 714-546-4607, send in this form with the 
    information below, or send an e-mail message with the  
    requested information to  72317.726@compuserve.com


    Name As It Appears 
    On Credit Card:___________________________________________

    MC/VISA # _________________________________________________

    MC [ ]  VISA [ ]

    Expiration Date ___/___

    Signature: ________________________________________________









    
    * Please place TELEPHONE CREDIT CARD orders through: 
    ****************************************************
        
         Public Software Library (PsL)
         Sales: 1-800-242-4775 or 713-524-6394


    * Stretch Break is listed as product #14382.


    *** WARNING *** 

    The PsL numbers above are exclusively for placing telephone orders 
    with credit cards.  Para Technologies CANNOT be reached at those 
    numbers. If you have questions about the status of your order, volume 
    discounts, etc., please contact Para Technologies directly through 
    their numbers that are listed in prior sections of this form.