
                             Order Form
                             ----------
      Fill in the information below, and mail with a check or money order
      for $29.95 to
                       Minuteman Systems
                       P.O. Box 152
                       Belmont, MA. 02178

                       Service Telephone (617)489-5639

      You will receive a printed and bound manual, telephone support,
      free updates for one year, and a personalized diskette.

      Name ___________________________________________________________
      Address ______________________________________Apt\MailStop______
      City/Town ___________________________ State_____ ZipCode________
      Telephone -  Business:_________________  Home:__________________

      Media :  _______ 5.25" floppy   ______  3.5" micro-floppy

      How did you obtain this program?
      --------------------------------
      Service/BBS : Compuserve __  Delphi __  Prodigy __  Other _______
      Sample: ___  Shareware Vendor :  Name ___________________________
      Other : _________________________________________________________

      Incentive Referral : List here a registered user who referred this
                           program to you and they will receive $5.00.

      Name ___________________________________________________________
      Company ________________________________________________________
      Address ______________________________________Apt\MailStop______
      City/Town ___________________________ State_____ ZipCode________
      Telephone -  Business:_________________  Home:__________________


      Comments
      ------------------
      Please describe here what you like about MainLine, what you would
      like to see improved, additional features you would like to see,
      or make any other comments;





