                    
                        NetCharts -- ORDER FORM

       Date of Order:   __________________

    Purchaser's Name:   _______________________________________
                    
        Company Name:   _______________________________________

             Address:   _______________________________________

                        _______________________________________

        Phone Number:   ____________________

          Fax Number:   ____________________

       Email Address:   _______________________________________


                           Quantity    Unit Price      SubTotal
      Student/
      Small Business:      ________    x $149.95     ____________

      Corporate License:   ________    x $249.00     ____________
        
      Developer License:   ________    x $495.00     ____________

                                              TOTAL  ____________


    IP Address(es):  (Enter All Hosts (XX.XX.XX.XX) To Be Licensed)

    _______________________________________________________________

    All products are distributed via the Internet.  You will be given 
    the name of a Web server, an account name and a password when your 
    order has been processed.  Floppy disk distributions are also 
    available for a $10.00 handling fee plus shipment charges.

    You may pay for your order using Visa, Mastercard, or American
    Express by providing us with the following information:

    Card Number:  _________________________    Exp. Date:  _________

    ** FOR YOUR PROTECTION, DO NOT SEND CREDIT CARD NUMBERS VIA EMAIL **

    NetFactory also accepts checks drawn on U.S. banks, money orders or 
    international traveler's checks as payment.  Corporate purchase 
    orders can be used to initiate shipping as well.

    Please submit this form to any of the following addresses:

	Email:  info@netcharts.com       Mail:  NetFactory, Inc.
                                                33 Wilelinor Drive
          FAX:  410-266-3656                    Edgewater, MD  21037

                 ** THANK YOU FOR CHOOSING NETCHARTS **
