Order Form

{ Please print the below and send it by express mail service. )

I wish to purchase monCASH __________ (specify qty. min 100).

I enclose check No. ___________ dated __________ for US$ ___________ drawn on ___________

Name.  (Mr./Ms.) ____________________________________________ Company ____________________________________________ Address ____________________________________________   ____________________________________________   ____________________________________________ Telephone ______________________ Fax __________________ E-Mail ______________________ Website ______________________   Sign _____________________________ Dated _____________________________