        F S A    P R O D U C T     O R D E R     F O R M


Name_____________________________________________________________

Company__________________________________________________________

Address__________________________________________________________

City______________________________________   State__________

Zip____________


Telephone____________________   (If we have questions about your order)


Product(s) desired: ____   Metrix            @ $34.00 $______________

                    ____   StickEm           @ $12.00 $______________

                    ____   King's Corners    @ $12.00 $______________

                    ____   HexView           @ $12.00 $______________

Order Subtotal....................................... $______________

Minus 10% discount if ordering 2 or more products.... $______________

Order Total.......................................... $______________


Diskette format: (Check one)     ____ 3.5"      ____ 5.25"


The above prices include shipping and handling charges.


Please enclose cash, check or money order.  Sorry, we can't take
credit cards at this time.


Return this form to:
                                
               Financial Systems Associates, Inc.
                    148 N. Washington Street
                   Delaware, Ohio  43015-1725


We can be contacted on Compuserve at 71641,3244 and on America
Online as SRWIZ.
