DinoSoft Inc.
Richard Turcotte
3507 Notre-Dame
Ste-Foy, Qubec
Canada
G2E 3L9



Name            : __________________________________
Company         : __________________________________
Street          : __________________________________
                  __________________________________
City/State      : __________________________________
Country         : __________________________________
Postal code     : __________________________________
Fax number      : __________________________________
Phone number    : __________________________________
CIS/INTERNET id : __________________________________



|------------------------------------------------------------------|
|       Products          |  *Price u.s.|  # ordered  |   Total    |
|------------------------------------------------------------------|
|  Network Assistant v2.3                                          |
|  - 1st copy              $100us/$125cn   __________   __________ |
|  - additional copies     $30us/$38cn each__________   __________ |
|                                                                  |
|                            Shipping & Handling cost   $6us/$5cn  |
|                                                       ---------- |
|                                         Sub-Total     __________ |
|                    (Canadian resident add %7 for TPS) __________ |
|                    (Qubec resident add %6.5 for TVQ) __________ |
|                                                        |
|TPS#:R139349708                             Total      __________ |
|TVQ#:1017162086                                                   |
|------------------------------------------------------------------|

*Network Assistant additional registered names for each copy:
 _________________________     ______________________
 _________________________     ______________________

