***** PDF OCX Order Form *****


Please select:

___ PDF OCX single-developer license(s) at $49.95 per developer for a total of $ _____  

___ Complete Visual Basic 6 source code $99.95


CHECK OR MONEY ORDER ONLY PLEASE!


Name    _____________________________________

Address _____________________________________

Apt No  _____________   Suite No ____________

City    ________________________________

State/Province   ________________________

Zip     _____________

Country _________________________

Email Address _______________________________ (So I can email you the location of the registered PDF OCX)

Note: If you don't have email PDF OCX will be delivered to you via regular mail.
      Please add $2.95 for shipping and handling in the United States or $4.95 for
      international orders. 
      

Mail check or money order payable to FRANK KUSLUSKI in US Dollars to the following address:

Frank Kusluski
402 Princeton Dr
South Lyon, Michigan USA  48178

Optional payment methods include PayPal and wire transfer of funds into my bank account.

To purchase through PayPal (www.paypal.com) you must open an account with PayPal (for free)
and own a credit card. Send funds to my email address: kusluski@mail.ic.net
After I receive an email from PayPal indicating I have received funds I will then email you
the location of the setup program for the registered version of PDF OCX which you can 
download and install. If you purchase using PayPal you should get this email on the same day. 

To purchase by wire transfer please send funds to the following bank account:

Republic Bank
419 S. Lafayette
South Lyon, Michigan 48178
U.S.A.

Route No: 291170383
Account No: 510008926

NOTE: Any wiring fees must be paid by you. This means that if you buy an individual license for
$49.95 and wiring fees are $5 your total payment would be $54.95

If you purchase by wire transfer please send me an email informing me what product you purchased.
Once I receive notification from my bank of the wire transfer (which usually takes about 4 to 5
days) I will email you the registration information.