                                 ORDER FORM

 To:   ARK ANGLES                                         Phone: (047) 588100
       24 Alexander Ave                                     Intl+61-47-588100
       Hazelbrook  NSW  2779                              Fax:   (047) 588638
       AUSTRALIA                                            Intl+61-47-588638

 From: Name    ______________________________________________________________

       Company ______________________________________________________________

       Address ______________________________________________________________

       Town    _____________________________  State _________  Code _________

       Country ______________________________________________________________

       Phone   _____________________________  Fax ___________________________

 Where did you obtain the program(s)? _______________________________________

 Computer:   [ ] XT   [ ] AT/286   [ ] 386SX   [ ] 386DX   [ ] 486   [ ] >486

 Memory Size: ____________   Hard Disk Size: __________

 Floppies:   [ ] 5.25" 360K   [ ] 5.25" 1.2M   [ ] 3.5" 720K   [ ] 3.5" 1.44M

 Screen:    [ ] Mono    [ ] Herc    [ ] CGA    [ ] EGA    [ ] VGA    [ ] >VGA

 Dos Version: ________   Windows Version: _________   OS/2 Version: _________
  _____________________________________________________ ________ ___________
 | P R O D U C T  /  L I C E N S E                     | Q T Y  | P R I C E |
 |_____________________________________________________|________|___________|
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 | Shipping                                                     |     $5.00 |
 |______________________________________________________________|___________|
 | T O T A L                                                    |           |
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 [ ] Bankcard   [ ] Mastercard   [ ] Visa   [ ] Cash/Cheque/Draft/Money Order

 Credit Card Number _______ _______ _______ _______   Expiry Date ____ / ____

 Cardholders Name   _________________________________________________________

 Signature          _______________________________   Date __________________
