                                   ORDER FORM

 Name: ______________________________________________

 Company: ___________________________________________

 Address: ___________________________________________

 City: ______________________________ State: ________

 Zip code: _____________________

 Phone: _____________________________  Ext: _________

 Product                          Quanity          Price/each       Total
------------------------------------------------------------------------------
 MLOGOUT for OS/2 Server Version  _______      x       $249    =    _________
 The Auto-Logout Utility for OS/2

 MLOGOUT Server version
 WMLOGOUT Server Version          _______      x       $149    =    _________
 The Auto-Logout Utility

                                        ---------------------------------------
                                         Shipping and Handling ($5)
                                         (Fed Ex available for $15)
                                         (Foreign $15; Fed Ex $Call)
                                         (COD Charge add $10)       _________
	
                                         Tax (VA residents add %4): _________


                                         Total order:               _________

How do you wish to pay for your order:

       Purchase Order _______        Check _________        COD _____________

       Visa __________   Account Number:  ___________________________________

                         Expiration Date: _________________

       [All orders shipped on 3-1/2"]

Additional information:

        What version Netware are you running? ______________

Please return form to:                         Fax (703) 715-2691

        DanaSoft
        PO Box 220168                          (703) 620-3554
        Chantilly, VA 22022                    (800) 800-9301
