uCalc Order Form


Name____________________________________________________________

Address_________________________________________________________

City/State/Zip__________________________________________________

E-mail (please print legibly)___________________________________

Phone______________________________Fax__________________________

Coupon code_____________________________________________________

How did you hear about uCalc?___________________________________


Product name(s)                                Quantity    Total

_____________________________________________  ________  $______

_____________________________________________  ________  $______

_____________________________________________  ________  $______

_____________________________________________  ________  $______

                   Florida residents add 6.5% sales tax  $______

                                            Grand Total  $______

Payment method

[ ] Check
[ ] Money order

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Print the above form and send it with your check or money order
to the mailing address found at www.ucalc.com/contact.html.
(If you paste this form to a word processor, a fixed-width font
such as Courier New 10 pt can ensure a properly aligned margin).
          
Important:
- Checks should be made payable to: Daniel Corbier (not uCalc).
- Please double-check to make sure your e-mail address is very
  legibly written, since the license code is sent via e-mail.
- Sending cash via postal mail is not recommended.
- Prices and product names can be found online at
  www.ucalc.com/purchase.html

Your privacy is taken seriously.  See www.ucalc.com/privacy.html

For other ordering options, see www.ucalc.com/purchase.html