I wish to order SECURE™ Encryption Software @ $59.95.       $______

and also _____ additional SECURE™ Licenses @ $29.98 ea.     $______

                                                    Total:  $______

Please deliver on a 3.5 diskette ___ via 1st Class Mail

               or ___ via email to:________________________________

Name:______________________________________________________________

Address:___________________________________________________________

City:___________________________________ State/Province:___________ 

Zip/Postal code:________________________ Country:__________________

Phone:___________________________ Day Phone:_______________________

Ship to (if different):____________________________________________

Address:___________________________________________________________

City:___________________________________ State/Province:___________ 

Zip/Postal code:________________________ Country:__________________

I wish to pay by:    ____Money Order   ____Check    ____Credit Card

Please charge my: ____Visa  ____MasterCard  ____Discover  (No AmEx)

Card Number:______________________________  Expiration Date:_______