
                         ORDER FORM (DBF.BIN)


Number of Workstations at User Site: ........ Computer Type: ........

Number of Copies of DBF.BIN Used   : ........  Media 5.5"... 3.25"...

Name of Company or Institutional Site: ............................

Site Address:

Number: ............. Street: .............. Unit/Suite: ..........

City: ............... State: ............... ZIP/Postal: ..........

Country: ............................

User Telephone: (   )-   -    .

Contact: ............................


Developer/Retail Vendor's Address: (If different to site address, order
will be sent here !)

Name of Developer/Vendor: .........................................

Number: ............  Street: .............. Unit/Suite: ..........

City: ..............  State: ............... ZIP/Postal: ..........

Country: ............................

Developer's Telephone: (   )-   -    .

Contact: ............................


Signature of Person Ordering: .............. Print Name: ..........

The vendor/user must submit one order form per user site.

Current price U.S. $15/workstation. Duty and local taxes payable if
required by local law. (Currently negligible for U.S. customers.)

Shipping and Handling: Extra. approx. $5.00 to U.S.A..

Send cheque or money order payable to Robin M. Day
                                      8 Lisa St. #2306
                                      Bramalea
                                      Ontario
                                      Canada L6T-4S6
