VDS Advanced Research Group
               P.O. Box 7573 York, PA 17404, U.S.A.
                          
                        BBS: (717) 846-3873
             http://www.vdsarg.com   perforin@vdsarg.com
                           
                      Perforin 2.0a Order Form


* All sales are final. Please download the trial copy before purchase.

                                                Date:______/____/___

Name:_______________________________________________________________
                     
Daytime Phone:_____________________Other Phone:_____________________

Shipping Address: __________________________________________________
                  
                  __________________________________________________                
                  
                  City:_____________________________________________                  
                  
                  State:___________Zip:_____________________________                  
                  
Email address:______________________________________________________

Quantity:_______________________ Price/Unit:_ $37.00
        
Sub-total:______________________ (multiply quantity by price/unit)

Shipping:_____$3.00_(add another $15 if you are outside the U.S.) 

Sales Tax (6% in PA):___________ (multiply sub-total by 0.06)

TOTAL:__________________________ (add sub-total, shipping, and sales tax)

Payment Method:
   
  ( ) Check #:__________ (make checks payable to VDS Advanced Research Group)

  ( ) Credit Card:                               
          ( ) VISA   ( ) Mastercard   ( ) Discover   ( ) AmEx
             
           Card Number: __________________________ Exp. Date: ____________
           
           Name on the Card:______________________________________________

Customer's Signature:_____________________________________________________
                                                  
Name one thing you liked about Perforin:__________________________________

Where did you get the trial copy of Perforin?
 ( ) http://www.vdsarg.com	( ) http://www.ccso.com  
 ( ) http://www.psnw.com/~joe	( ) AOL	( ) Other:______________

-May we add your email address to our list to notify you of 
 new releases? 
                 ( ) Yes    (  ) No

* Fill in the blanks, enclose a check for the total amount or specify
credit card information and mail it to our address. Allow 1-2 weeks 
for delivery.
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For us to serve you better, please answer the following questions:

1. If any, which virus(es) infected your PCs so far? _____________

2. Which antivirus software did you use to find/remove them? _____

3. What is your operating system? ( ) Windows 95    ( ) Windows NT 4

4. Do you use WinWord at home? ( ) No  ( ) Yes____version:________
 
5. Do you use WinWord at work? ( ) No  ( ) Yes____version:________

6. Do you use any other word processing program besides WinWord? 
	( ) No   ( ) Yes __________________

7. Have you ever lost data due to a computer virus infection?  
        ( ) No   ( ) Yes

8. Do you own a Pentium multimedia PC?  ( ) No   ( ) Yes
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* You can direct all questions/suggestions to support@vdsarg.com