          ORDER FORM FOR CREDIT CARD ORDERS FROM PSL
          ==========================================

Use this form only if you are ordering by FAX or mail from Public 
(software) Library.  DO NOT SEND CREDIT CARD ORDERS DIRECTLY TO 
KATMAR SOFTWARE.  Send the completed form to :-

 Public (software) Library        **NOTE**  This address is for
 PO Box 35705                     ORDERS ONLY. Any questions on
 Houston                          the status of the shipment of
 TX 77235-5705                    the order, refunds,
 United States of America         registration options, product
                                  details, technical support etc
 FAX  713-524-6398                must be directed to Katmar
                                  Software's South African address.

Registration for: Packed Column Calculator by Katmar Software 
                  (product code #15421)
                                       	         __
Licence type: Single User Licence US$ 80-00     |__| (tick
              Site Licence US$ 250-00           |__|  as
PsL CD-ROM  : In continental USA US$ 10-00      |__|  appropriate)
              Outside continental USA US$14-00  |__|

Registration Details
  Your Name          : ___________________________________________

  Your Company Name  : ___________________________________________

  Your Address       : ___________________________________________

                       ___________________________________________

                       ___________________________________________

                       ___________________________________________

  Your Email Address : ___________________________________________

  Your Fax Number    : ___________________________________________

Credit Card Details
  Name as on Card    : ___________________________________________

  Billing Address    : ___________________________________________

                       ___________________________________________

                       ___________________________________________

Credit Card type     : MC / Visa / AmEx / Discover    (circle one)

Credit Card Number   : ___________________________________________

Expiration Date      : _________________________________ ( mm/yy )

Total Amount in US$  : __________________________ (see cost above)


Signature            : ______________________Date : ______________
