************************************************************************
  *                                                                      *
  *                       MusicEase - Version 4.23                       *
  *                   Copyright 1990-1995 by Gary Rader                  *
  *                                                                      *
  *                       Published exclusively by:                      *
  *                         RMH Computer Services                        *
  *                              PO Box  657                             *
  *                       Beech Grove IN 46107-0657                      *
  *                            (317)  782-9903                           *
  *                                                                      *
  ************************************************************************

                                  ORDER FORM

--------------------------------------------------------------------------
 Send registration     RMH Computer Services           [  you can call   ]
form and payment to:   PO BOX 657                      [  317-782-9903   ]
                       BEECH GROVE, IN 46107-0657      [  to order via   ]
                       USA                             [ VISA/MasterCard ]
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 I have enclosed (US Funds)..................................... $_____
   [ ] Standard Version     -  $49.00
   [ ] Professional Version -  $99.00
       (see Appendix for details of Professional Version)
   [ ] Sample Files Only    -  $ 5.00*
       (* Sample files are included with all
        registered versions at no extra charge!)

 *** Indiana residents please add 5% State sales tax ........... $_____

 Shipping/Handling ............................................. $_____
   [ ] USA residents please add .............. $3.00 S/H
   [ ] Canada/Mexico residents please add .... $5.00 S/H
   [ ] Other residents please add ............ $8.00 S/H

                                        Total .................. $_____


PLEASE TYPE OR PRINT (all information will remain confidential)

Name...: __________________________________________________________

Address: __________________________________________________________

       : __________________________________________________________

       : __________________________________________________________

Name to be branded into program: __________________________________
                                      (51 characters maximum)

Phone Number (Required)..: ___________________    Sales Code: ME423JCSM

Do you have an email account? [y/n]: ____  
   If yes, address: ___________________________________________________

I would like to receive:  [___] 3-1/2" disks (720k)
                          [___] 5-1/4" disks (360k)  



CREDIT CARD ORDERS
------------------

For fast Credit Card (MC/VISA) ordering, please call us at 317-782-9903. 
Or, you can provide the information (including your signature!) in the 
space below. *ALL* spaced must be completed:

   +------------------------------------------------------------------+ 
   | We can accept MasterCard or Visa credit card payments.  Fill out | 
   | the following ONLY if you are making payment by MC or Visa.      | 
   |                                                                  | 
   | MasterCard [_]    Visa [_]     Number [____  ____  ____  ____]   | 
   |                                                                  | 
   | Name on the Card [_____________________________________________] | 
   |                                                                  | 
   | Expires [_______]  Signature (*)________________________________ | 
   +------------------------------------------------------------------+ 
            (*) NOTE: This *REQUIRES* a hand-written signature!