Date:

Biomobility, LLC European Union Customers: 311 Woodland Drive Please see important note below Hillsboro, OH 45133 http://www.biomobility.com Phone (937) 763-5466 E-mail [email protected] Fax (775) 255-1246 Tax ID Number: 41-2095756

Purchase Order# (if applicable):

Bill To: Ship To: Check here if same as bill to:______

e-mail address: Qty Item Description Each Total

Data On The Run Pocket PC database software $14.95 $

Pocket PC diet and exercise Mobile Coach $19.95 $ software Mobile Coach for Windows diet and exercise $15.99 $ Windows software

CopyText Pro Pocket PC text utility software $4.99 $

Total : $ Thanks for your business! Payment should be made in US funds to Biomobility, LLC. For technical support, visit our web site at http://www.biomobility.com, or e-mail [email protected]. Taxes (Ohio residents Customers from European Union countries should use add 6%) $ http://www.biomobility.com/purchase.htm to purchase software; because of changes in the way VAT tax is handled, all orders from European Union customers must go through the web site, effective July 1, 2003. Balance Due $