Order Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=72 BGCOLOR="#006699" TEXT="#080000"> <div> <B>SIGNUP CENTER, v.1.5</B><FONT SIZE="1" COLOR="#FFFFCC" FACE="Arial" ><B>    </B></FONT></div> <div> </div> </td> </tr><tr> <td valign="top" height=408 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Order Form</I></div> <div>                                                   </div> <bR> <bR> <div> Print out this web page.</div> <div> Fill out this form. </div> <div> Enclose check or money order (United States currency) </div> <div> payable to "<FONT SIZE="2" COLOR="#000000" FACE="Arial" ><B>Neuton Data Systems</B></FONT>".</div> <div> Mail to: </div> <bR> <div> <B>Neuton Data Systems</B></div> <div> <B>440 No. Curson Ave.</B></div> <div> <B>Los Angeles, California  90036 USA</B></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="537" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Quantity</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="278"><div> Product</div> </tD> <tD VALIGN=TOP><NOBR><div> Price each</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> Price</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 170 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="170" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><div> SIGNUP CENTER, v. 1.5 software only (+ $3.50 shipping to US addresses)</div> <div> Be Sure to specify which version of Signup Center you want:</div> <div> a) SIGNUP2G (Printer & Games)</div> <div> b) SIGNUP3G (No-Printer & Games)</div> <div> c) SIGNUP2N (No-Games & Printer)</div> <div>      d) SIGNUP3N (No-Games & No-            Printer)</div> </tD> <tD VALIGN=TOP WIDTH="99"><div> $ 39.95</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="170" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 57 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><div> CCD Bar code Scanner (DataMatrix)</div> <div> (+ $8.00 shipping & ins. to US addresses) </div> </tD> <tD VALIGN=TOP WIDTH="99"><div> $ 144.95</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 57 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><div> Laminated  "Computer Signup Center" sign 8 1/2 x 22 (+ $1.00 shipping)</div> <bR> </tD> <tD VALIGN=TOP WIDTH="99"><div> $ 7.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 57 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><div> Laminated full-color "Computer Signup" Menu: (+ $1.00 shipping)</div> <bR> </tD> <tD VALIGN=TOP WIDTH="99"><div> $ 2.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 57 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><div> Laminated<B> </B>"Computer Signup Instructions"<B> </B>sheet (+ $1.00 shipping)</div> </tD> <tD VALIGN=TOP WIDTH="99"><div> $ 1.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 208 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="208" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><div> <B>ALL OF THE ABOVE ITEMS TOGETHER AS A PACKAGE </B></div> <div> (+ $ 10.50 shipping & ins. to US Addresses) </div> <div> Be Sure to specify which version of Signup Center you want:</div> <div> a) SIGNUP2G (Printer & Games)</div> <div> b) SIGNUP3G (No-Printer & Games)</div> <div> c) SIGNUP2N (No-Games & Printer)</div> <div> d) SIGNUP3N (No-Games & No-Printer)</div> </tD> <tD VALIGN=TOP WIDTH="99"><div> <B>$ 179.95</B></div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="208" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="278" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="99"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="99" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><div> Shipping and insurance</div> </tD> <tD VALIGN=TOP WIDTH="99"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="99" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 23 WIDTH="56"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="23" ALIGN="bottom" WIDTH="56" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="278"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="23" ALIGN="bottom" WIDTH="278" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="99"><div> <B>TOTAL</B></div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="23" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <bR> <div> Please provide your information below exactly as it will be entered in the registration panel. </div> <bR> <div> Organization:</div> <bR> <div> Name __________________________________________________________</div> <bR> <div> Address ________________________________________________________</div> <bR> <div> City ___________________________________________________________</div> <bR> <div> State ____    Zip ______     Phone ________________________</div> <bR> <div> Email _______________________________________________</div> <bR> <bR> <div> Back to <A HREF="index.htm" TARGET="_top" TITLE="SIGNUP CENTER, v.1.5">SIGNUP CENTER, v.1.5</A></div> </td> </tr></table></body>