enLighter WORLD-WIDE ORDER FORM Payment may be made with a check, or various credit cards, in US dollars. Please note that credit cards are charged in US Dollars, at the current exchange rate. See the Price List for dollar prices, and return the completed Order Form below. Licenses required: [ ] 1, [ ] 5, [ ] 10, [ ] 20 Price: ______________ Total amount paid: ______________ Method of Payment: [ ]Check, [ ]MasterCard, [ ]VISA Credit Card Number: _________________________ Expiry Date: ____/_____ Name On Card: _________________________ Your Name (if different): _________________________ Company: _________________________ E-mail Address: _________________________ Billing Address: ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Country: ___________________ Please send this completed form with your check (if appropriate) to: N-LITER Inc. 265 Sheldrake Blvd Toronto Ontario M4P 2B7 Canada E-Mail: sales@enlighter.com Thank you for your interest in this product.