VDS Advanced Research Group
                              P.O. Box 9393
                           Baltimore, MD 21228
                             
                             (410) 247-7117
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                             VDS Order Form


                                                       Date: ___/___/_____


Name: _____________________________________________________________________

Address: __________________________________________________________________

         ____________________City: ____________ State: _____ Zip: _________

     * P.O. Box orders are not accepted unless the full payment is enclosed.
       Make checks payable to Tarkan Yetiser.


Phone:  (      )        -                  (      )        -      

Contact Person: ___________________________________________________________

Diskette Size:      ( ) 5.25"                ( ) 3.5"

Payment Type:            ( ) Enclosed
                         ( ) C.O.D.
                         ( ) Call for arrangement

License Type:   ( ) Personal    ( ) Charity     ( ) Academic    ( ) Business

    * Charity requests must be accompanied by a letter from the organization.

Number of Copies:  ______________



When the programs in the VDS package run, they display the name of the 
icensee on the last line of the computer screen.  The name can be up to 
60 characters in length.  Please type in the licensee name you prefer below.  
If you leave it blank, we will use the name provided above.


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