                         Java ISCBanner Applet V1.2
                         ^^^^^^^^^^^^^^^^^^^^^^^^^^
			     *** Order Form ***


Send To :       IS/Complete
		70 E. Palisades Ave
		Englewood
		New Jersey, 07631
		USA
		jay.tze@iscomplete.com

Please register me as a user of the ISCBanner Java Applet.
I enclose $15.00 for registration.


    Name:____________________________

 Address:____________________________

	 ____________________________

	 ____________________________

	 ____________________________

   Phone:____________________________

     Fax:____________________________

   E-Mail:____________________________ 


Comments:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________
