Register form

AlbumWeb (product number 4479-4): order form

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Mail this form to:      Universal Commerce, Inc.

                       ATTN: Orders

                       PO Box 1816

                       Issaquah, WA 98029

                       United States of America

Or fax it to:           1 888 353-7276 (U.S. and Canada; toll-free)

                       1 425 392-0223 (other countries; regular)

Or just call:                  1 877 353-7297 (U.S. and Canada; toll-free)

                             1 425 392-2294 (other countries; regular)

Check, money order, purchase order or credit card order accepted

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Note: for mailed orders, the checks need to be made out to Universal

Commerce Inc. The product ID (4479-4) should be mentioned on the

"memo" of the check. Checks and money orders should be drawn in US

Funds. A purchase order must be faxed or mailed to the address listed

above with all necessary information including billing information.

Order Information

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AlbumWeb (4479-4)               Price/Unit     Quantity         Total

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Pro  Edition Personal license   $39.95         ____           ______

Pro  Edition Business license   $59.95         ____           ______

Mail or fax order                $2.50                        ______

TOTAL AMOUNT ($U.S.)                                                       _________

Note: if you place an order by fax (with credit card), or pay with

check, money order or purchase order, please include additional

$2.50 (see above). Otherwise, your order will not be processed. If you

place an order by phone, you'll be charged for additional $3. For

online orders, there are no additional charges.

Payment Information

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First Name:      _____________________________________________________

Last Name:       _____________________________________________________

Company:         _____________________________________________________

Street Address:  _____________________________________________________

                _____________________________________________________

City:              _____________________________________________________

State/Province:  _____________________________________________________

Zip/Postal Code: _____________________________________________________

Country:         _____________________________________________________

Daytime Phone:   _____________________________________________________

Fax:             _____________________________________________________

Email Address:   _____________________________________________________

Payment:         __ MasterCard     __ VISA     __ AMEX     __ Discover

                __ Check       __ Money order       __ Purchase order

For credit card orders:

Name on Card: ________________________________________________________

Credit Card Number: __________________________________________________

Expiration Date: month _______________ year (4 digits) _______________

               Signature : ____________________  Date: ______________