                 PrivateEXE v2.0a for Win'95/NT
           Copyright (c) 1996,1997 by MidStream, Inc.
                      All rights reserved.

                      O R D E R   F O R M


NOTE 1:  If you wish to order with  VISA, MasterCard, American
         Express or Discover credit card please contact Public
         Software Library (PSL), which handles all credit card
         orders. See README.TXT file or PrivateEXE Help for
         more details on how to contact PSL.

NOTE 2:  (SCANDINAVIAN USERS ONLY): please contact your local
         distributor, Pro Soft. See on-line Help for more 
         information on how to reach Pro Soft in Denmark.

ALL OTHER COUNTRIES: For personal checks, cash, postal money 
orders, or purchase orders (sorry, no Eurocheques!) please 
provide the following information below:

_____________________________________________   ______________
Your name                                                 Date

___________________________________   ________________________
Street                                City     State/Pr    Zip

______________   __________________   ________________________
Country          Phone                E-mail address

______________________________________________________________
Where did you hear about PrivateEXE?

==============================================================
#  Descrpition                         Qty     Price     Total
==============================================================

1. PrivateEXE full licensed version:   ___  x  $29.95   $_____

2. BONUS BrainCubes Game:              ___      FREE     FREE

3. BusinessCards (with PrivateEXE      ___     $19.95   $_____
   only, when ordering directly 
   from MidStream, Inc.)
   
4. 5-Or-More! (with PrivateEXE         ___     $19.95   $_____
   only, when ordering directly
   from MidStream, Inc.)
   
5. Shipping and Handling (optional,
   your e-mail address is REQUIRED
   if you prefer Internet delivery)
      USA:                             ___      $3.00   $_____
      Canada/Mexico:                   ___      $4.00   $_____
      International (all other):       ___      $5.00   $_____

                         GRAND TOTAL:                   $_____

================================================================
See the online help or visit us at http://www.midstream.com for 
more information about highly acclaimed BusinessCards and
5-Or-More! software.

Please mail completed order form along with your payment to:


         MidStream, Inc.
         P.O.Box 862
         San Bruno, CA
         94066-0862 USA

Thank you for your business!
