FROM:
        Name: _________________________________
   (Company): _________________________________
     Address: _________________________________

  City,State: _________________________________
    ZIP Code: _______________
        date: _______________  
   (Country): _________________________________
Daytime                         
Phone Number: ____________________  
         Fax: ____________________

    (ADD $6.0 FOR SHIPPING,INCLUDES ONE DISKETTE WITH PROGRAMS.
    THROUGH E-MAIL HAVE NO DISK INCLUDE.)
    
    OPERATION SYSTEM EITHER DOS OR W95: ___________

    1 to   2 computers at US$18 each    # computers ___ x 18   ____
    3 to  10 computers at US$16 each    # computers ___ x 16   ____
   11 to  ~  computers at US$10 each    # computers ___ x 10   ____