-------------------- VSA256 GRAPHICS LIBRARY ORDER FORM ----------------------

To register your use of the VSA256 Graphics Library, please fill out the 
following information and send with a check or money order for $20.00 to:

				    Spyro Gumas
				    1668 Shady Brook Drive
				    Fullerton, Ca. 92631

You will receive a program disk and printed documentation for the VSA256 
Graphics Library Version 1.0 as well as a free upgrade to Version 2.0 when 
it is available.

Diskette with programs and documentation files ...... $20          ______

Diskette format (choose one)   ____ 5.25" disk ____ 3.5" disk 

(Please add $5.00 per package for overseas orders.)                ______

California residents add 6% sales tax.                             ______

						     Total enclosed            ______








------------------------- COMMERCIAL SITE LICENSE ----------------------------

*Commercial site license for the use of VSA256 Graphics Library.
(Includes one diskette with programs & documentation files.)
	 
   2 to  9 computers ..... at $20 each    # computers ___x $20     ______
  10 to 24 computers ..... at $18 each    # computers ___x $18     ______
  25 to 49 computers ..... at $15 each    # computers ___x $15     ______
  50 to 99 computers ..... at $10 each    # computers ___x $10     ______
  100 or more computers .. $1000 one time fee                      ______
											
Diskette format (choose one)   ____ 5.25" disk ____ 3.5" disk 

Extra program disk & documentation with purchase of
site licenses of 2 or more available at $7.00 each.     ___x  $7   ______

(Please add $5.00 per package for overseas orders.)                ______

California residents add 6% sales tax.                             ______

						     Total enclosed            ______

* Includes a free upgrade to Version 2.0, when available.


--------------------------- INFORMATION ABOUT YOU ----------------------------

Name & Title      __________________________________         Date: _________     

Company:          __________________________________

Address:          __________________________________
		
City,State & Zip: __________________________________
								 
Country:          _________________________
			
Phone Number:     _________________________

Your Application: _________________________








----------------------- INFORMATION ABOUT YOUR SYSTEM ------------------------

Type of Computer (286, 386sx, etc):  _________ 

Processor Speed (16Mhz, 33Mhz etc.): _________

Coprocessor ?:                       _________

Amount of RAM (640KB, 4MB, etc.):    _________

Hard Disk Size (20MB, 100 MB, etc.): _________

Floppy Drives (check applicable):    ___360KB 5.25" ___1.2MB 5.25"
						 
						 ___720kB 3.5" ___1.4MB 3.5"

Make and Model of Video Adapter:     _____________________________

Amount of RAM in Video Adapter:      _____________________________

Make and Model of Video Monitor:     _____________________________

Compiler Language and Version:       _____________________________

Do You Do Windows?:                  _________