Interested in purchasing one of our products online?  Visit us on the web at: 
http://www.exclamationsoft.com


If you are mailing or faxing your order please print this form out and fill in every item.

The mailing address is:
ExclamationSoft Corporation
Attn: Sales
3131 S. Cloverly Dr.
Furlong, Pa. 18925
USA


Product Purchasing  #licenses*	    Price per license		Line total

RemoteBot           __________      $29.95                      ___________

MailListBot Pro     __________      $19.95                      ___________

MailListBot         __________      $49.95                      ___________
COM Edition

MailListBot         __________      $599.95                     ___________
COM Edition 
Distribution License

                        (PA residents add 6% tax)         Tax   ___________
												  
                                        (US funds only) Total   ___________
   

(*1 license allows you to install RemoteBot on 2 computers OR MailListBot Pro on 1 computer)



B I L L I N G   I N F O R M A T I O N
-------------------------------------
First Name          __________________________________________________________________

Last Name           __________________________________________________________________

Street Address      __________________________________________________________________

City                __________________________________________________________________

State               __________________________________________________________________
  
Zip                 __________________________________________________________________

Telephone Number    (_____) ______ - _________(Please include area code)

Email Address       __________________________________________________________________


P A Y M E N T   I N F O R M A T I O N
-------------------------------------
Credit Card Type (Please circle one) American Express, Master Card, Visa, Discover

Credit Card Number  __________________________________________________________________

Credit Card Expiration date (MM/YY)_____ / ______

Name as it appears on credit card  ___________________________________________________


Once this order is received and processed, we will send you an email with a
registration code (if ordering RemoteBot) or the registered version (if ordering
MailListBot Pro)

Thank you for your order!