
          SUREFIRE                     YES!  PLEASE SEND ME SUREFIRE!
         Order Form
                                 Name:____________________________________

 Mail Orders:                 Company:____________________________________
  Piaf, Inc.
  3918 Orchard Court          Address:____________________________________
  Boulder, CO 80304-1023
                                      ____________________________________
 Phone Orders:
  303 786-8222  (24 hours)       City:____________________________________

                        State/Country:____________________________________

                      Zip/Postal Code:____________________________________

 Order Date:____________        Phone:____________________________________

              Item                    Quantity   Price     Total

 Full Surefire Package -               ______     $79     $_______________
    Includes: 475 page bound User's
    Guide, 6 Months Phone Support,
    Registered Disks (with Examples,
    Spell Checker, memory up to 8Mb)

 Registered Disks Only -               ______     $39     $_______________
    Registered Disks (with Examples,
    Spell Checker, memory up to 8Mb,
    Tech support by mail or e-mail)

 Full Surefire Package with Contacts - ______     $99     $_______________
    Includes Full Surefire Package
    PLUS a Full Contact Manager with
    separate 100 page User's Guide,
    Quick Reference card. ($169 Retail)

 Shipping and Handling (per unit) -                       $_______________
    Full Package   Disks Only
      $  6            $  4     U.S.
      $  8            $  6     Canada
      $ 25            $ 12     Overseas

                   Colorado Sales Tax: (Add 3%)           $_______________

                               Total Amount (US Dollars): $_______________

                            Disk Size: ____5-1/4"   ____3-1/2"

   Payment must be via     VISA/MC No: ___________________________________
   Check, Money order,
   VISA or MasterCard.        Expires: ___________________________________

                            Signature: ___________________________________
     THANK YOU
   FOR YOUR ORDER!     I learned about
                        Surefire from: ___________________________________

         (Please write your comments and suggestions on reverse!)
