                                ProKon
                   The Metric Conversion Utility
                              Order Form

          Return to:          Harold Schwartz
                              P.O. Box 104482
                              Jefferson City, MO   65110

NAME_________________________________________________________________

ADDRESS______________________________________________________________

____________________________________________________ZIP______________

  
"ProKon" Version 7.5          QUANTITY                        TOTAL
(includes latest version). . .________ . . . X $14.95 . . .  ________
              Shipping/Handling (per order) . . . . . . . . ___$1.50_
       Grand Total . . . . . . . . . . . . . . . . . . . . . ________

          Indicate registration name for each copy of ProKon ordered:
	     (40 characters maximum, including spaces)

                          PLEASE PRINT CLEARLY

Copy No. 1) ______________________________________________________

Copy No. 2) ______________________________________________________

Copy No. 3) ______________________________________________________

TERMS: All payments must be in U.S. funds drawn on a U.S. bank. Check 
or Money Order acceptable. Personal checks may be subject to bank 
clearance before shipment.  Shipments outside the U.S. include $3.00 
shipping and handling.

I agree to the conditions set forth in the documentation:

   (Signature) _____________________________________________________

    Where did you get "Prokon"______________________________________
