NUIQ SOFTWARE INC   ORDER FORM  (914) 833-3479   833-3623 FAX  834-7830 BBS

*QTY*  PRODUCTS                                                TOTAL
[   ]  Powerboard DemoPak - Demo Disk & Brochure      $0       [     ]
[   ]  Powerboard BBS Single Line/Node                $99      [     ]
[   ]  Powerboard BBS 3-Node                          $175     [     ]
[   ]  Powerboard BBS 6-Node                          $275     [     ]
[   ]  Powerboard BBS 9-Node                          $325     [     ]
[   ]  Powerboard BBS 99-Node                         $750     [     ]
[   ]  Powerboard BBS 499-Node                        $1300    [     ]
[   ]  Powerboard BBS 999-Node                        $2300    [     ]
[   ]  PB BBS Custom: 9Node + $5/Node (ie $330 for 10-Node)    [     ]
[   ]  Powerboard Developer's Kit (w/o Powerboard)    $100     [     ]
[   ]  Powerboard Developer's Kit (w/ Powerboard)     $50      [     ]
[   ]  PowerTime BBS Usage Bulletin Creator           $15      [     ]
[   ]  LASTCALL 1.0 Callers Bulletin Creator          $15      [     ]
[   ]  PROPROMPT Enhanced DOS Prompt Creator/Editor   $15      [     ]
*QTY*  UPGRADES - Must include Serial Number [   ]             TOTAL
[   ]  Disk upgrade to latest version of PB BBS       $15      [     ]
[   ]  Upgrade node version - Price difference plus 15%        [     ]
*QTY*  SERVICES                                                TOTAL
[   ]  Add'l year tech support/bbs access/newsletter  $50      [     ]

       SUBTOTAL                                                [     ]

       SALES TAX (Delaware & New York residents only)          [     ]

       SHIPPING AND HANDLING                  FIRST ITEM  ADDL TOTAL
       Ground Shipping (USA-48 states only)         $8    $3   [     ]
       Canada & other North American                $15   $6   [     ]
       Other Foreign                                $30   $15  [     ]
       Federal Express 2-Day (USA-48 states only)   $25   $6   [     ]
       Federal Express Overnight (USA-48 only)      $40   $10  [     ]
       COD SERVICE ADD $15                                     [     ]

       TOTAL                                                   [     ]

Name __________________________ Company _________________ Date ____________

Address _______________________ City ___________ State ____ Postal ________

Phone ________________ How did you hear of us? ____________________________

Ship To Address (if different) ____________________________________________

                               ____________________________________________
PAYMENT METHOD (Check One): [  ] VISA [  ] MASTERCARD [  ] CHECK/MONEY ORDER
[  ] COD (add $15) [  ] PURCHASE ORDER (Government and Rated Companies only)

Card Number ______________________________ Exp Date _______________________

Cardholder Name _________________ Signature _______________________________

Make Checks Payable To: NUIQ SOFTWARE INC, P.O. BOX 832, LARCHMONT NY 10538
 ** Checks must be in U.S. funds, drawn on a U.S. bank **