
           FOR VISA, MASTERCARD AND AMERICAN EXPRESS PURCHASES ONLY!

       Software will be shipped on a 3.5" high density diskette unless you
       specify otherwise.  5.25" floppy disks will incur a $2.00 surcharge.
       Please print your name and address below VERY CLEARLY!

  Individual's complete name _______________________________________________

  Mailing address __________________________________________________________

  City ____________________________  State __________  Zip Code ____________

  Country ________________________  Phone __________________________________

  Internet email address: __________________________________________________

  Credit card type (circle one):   VISA      MasterCard     American Express

  Card number: _____________________________________________________________

  Expiration date: _________________________________________________________

  Card holder's signature: _________________________________________________

  Please note: Credit card rules prohibit us from mailing software if your
  BILLING address is different from the MAILING address.

                           Mail this order form to:

                               Philip P. Kapusta
                               406 Monroe Avenue
                           Falmouth, Va. 22405 U.S.A.

                               REGISTRATION COSTS:

            Yes, send me The Grape Vine!

            Registration for use on one PC computer:          $ 10.50

            Optional Grape Vine Editor: $3.00                 $______

            Special offer Educational Software Cooperative
            CD-ROM with over 100 shareware programs: $6.95    $______

            Virginia residents, add 4.5% sales tax            $______

            Overseas/foreign addresses air mail:   $ 2.00     $______

            Total enclosed:                                   $______ *

    * Prices are valid  through December 31, 1998.  Contact  author with a
    self-addressed stamped envelope  after this date for the latest prices
    or send an email inquiry to: 74170.3550@compuserve.com

