ORDER FORM

Name  (Please Print) __________________________________________________

Address _______________________________________________________________

City  ________________________________ State __________ Zip ___________

Country (if not USA) _________________  Phone/Fax _____________________

DISK SIZE:   [ ] 3.5" 1.4MB         [ ] 5.25" 1.2MB

[ ] TESTAID FOR WINDOWS                           $15.00 (U.S. DOLLARS)

SHIPPING CHARGES:                     | TOTALS:
[ ] @ $15.00 EA                       |                        $________
[ ] USA - NO CHARGE                   | SHIPPING AND HANDLING  $________
[ ] OTHER - $10.00                    | (.0625) UTAH SALES TAX $________ 
                                      |
                                      | AMOUNT ENCLOSED        $________

**************************************************************************


MAIL TO:    PMJ DEVELOPMENTS
            P.O. BOX 70464
            WEST VALLEY CITY, UT  84170


NOTE:  NO RETURNS.   If disk is damaged through mail please send disk
                     and all original packaging material to above address.
                     Your package will be mailed out promptly.

FOR VERIFICATION OF YOUR ORDER PLEASE SIGN BELOW:

SIGNATURE:   ____________________________________ DATE:  _______________


        NOTE:   MAKE CHECKS PAYABLE TO "PMJ DEVELOPMENTS"

                PLEASE ALLOW ONE-TWO WEEKS FOR DELIVERY

                *****  THANK YOU!  *****



Where did you get TestAid from?    _____________________________________

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