Perez Computing Services IPF Editor 1.02 Order Form

Mail to:  PCS Orders 
          4725 Monte Vista Place
          Mount Vernon, WA 98273, U.S.A.

For more information call (206) 428-5025 (Voice & Fax). To order the IPF Editor
or the Voice Support Module call 1-800-IPF-7622.  You may fax your orders to 
(206) 428-5025.

Name: __________________________________

Company Name: _________________________________ Fax: _________________________

Phone:  _________________________ Ext: ____  Best Time to Call: ______________

Shipping Address: ______________________________________________

                  ______________________________________________

    City: ________________________   State/Province: _____________________

    Zip/Postal Code: ______________  Country: ______________________

Billing Address:  _____________________________________________
 (leave blank if
 same as ship     ______________________________________________
 address)
    City: ________________________  State/Province: _____________________

    Zip/Postal Code: ______________ Country: ______________________
==============================================================================
Quantity discounts are available.  Call for site licensing information.

Qty    Item                     Unit Cost       Extended Cost

___    IPF Editor 1.02          $150.00          ________

___    IFP Editor Voice Support $ 50.00          ________
       Module

___    Standard Shipping        $  7.50          ________

___    International Shipping   $ 12.50          ________

       Washington State Residents
       add %7.8 Sales Tax                        ________

       Total:                                    ________
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Payment Options - All Payments must be made in United States funds and checks 
                  must be drawn on a U.S. bank.
Purchase orders require pre-approval by Perez Computing Services.
Payment Type: ___VISA  ___MASTERCARD  ____AMERICAN EXPRESS ____CHECK    ____P.O.

Purchase Order Number: __________________  (PCS Approval Number:______________)

Check or Credit Card Number: __________________________  Exp. Date: __________

Card Holder Signature: ______________________________