** ORDER FORM **

-- You can now order through CompuServe's SWREG service --
-- See below for the SWREG # --

Please remit to:

Soft Sector, Inc.
PO Box 81480
Cleveland OH 44181 USA

If paying by credit card:
-------------------------
You can call in your order to: (216) 777-3612

You can fax your order to: (216) 777-3612


   Name: _________________________________________________________

Company: _________________________________________________________

Address: _________________________________________________________

	 _________________________________________________________

   City: ______________________________  State: __________________
   
Zip/Postal: ____________________  Country: _______________________

Phone # (optional): ______________________________________________

E-Mail Address: __________________________________________________

Where did you obtain our product? 

__________________________________________________________________

Comments or Suggestions:







Product Description             Price Per Unit  Qty     Total
--------------------------------------------------------------------
ssBarCode v2.1 16-bit & 32-bit  $30.00        x      =
SWREG #11379

ssImage v1.0                    $5.00         x      =


Shipping/Handling via US Mail   $3.00 (flat rate)    =
       -- or --
Shipping/Handling via E-Mail    $1.00 (flat rate)    =  

--------------------------------------------------------------------
					Subtotal:

		 Ohio Residents Add 7% Sales Tax:

					   Total:

Payment Options
---------------

[ ]  MasterCard    [ ]  Visa   [ ]  American Express  

[ ]  Check/Money Order (make payable to SOFT SECTOR, INC.)


If Credit Card...
-----------------

Credit Card #: _______________________________________________________

Expiration Date: ____/____     

Name on Card: ________________________________________________________

Signature: ___________________________________________________________

Registration Benefits
---------------------
For any of our products that you register, you get the following:

- Current version usable in any of your applications
- Technical support via e-mail for one year
- Bug fixes free via e-mail
- Next major update free
- Notification of updates of all our products
- Discounts on our other products
