RJ ORDER FORM

Please fill in the following information and return this form to RJ@BASISTECH.COM or fax 
the information to 1-617-386-2020.  We will send you confirmation of your order by email 
within one business day.


Name......
Company/School (if applicable)...
Address...

Phone.....
Email.....

How did you hear about RJ?...


RATE (type an X after the correct status) 
(Massachusetts residents add 5% for tax):
Regular US$149.................................
Student US$99 (please fax ID to 617-386-2020)..

Number of Copies...............

SHIPPING (type an X after choice):
US 2 day express US$12..............
US regular US$3................
International express US$18....
International regular US$6.....
Download from website $0.......
   (if you choose to download RJ from the website,we will 
    email you with the password)

PAYMENT:
Visa/Mastercard:
number............
expiration date...

Check: 
make payable to: "Basis Technology"
mail to:
Read Japanese
Basis Technology Corp.
150 CambridgePark Drive
Cambridge, MA 02140 USA

Direct Deposit to Japanese bank account:
contact us for more information

Purchase Order:
Institution....
PO number......
PO date........