Direct Mail Order Form

Full name: ________________________________________________________________

Address:  _________________________________________________________________

City: __________________________________    State: _____   Zip: ___________

E-mail address: ________________________________________________________

Name on license: ________________________________________________________

Quantity

 [   ]  Single user license sent to the e-mail             $12 each
        address above

 [   ]  Current version of AtomTime Pro and a single       $20 each
        user license sent on CD to the address above


   Please address the check or money order (in U.S. funds) to:  AtomTime.com

Please print this form and include with your check or money order and mail to:

   AtomTime.com
   P.O. Box 120327
   New Brighton, MN 55112-0016
   USA