Fax/Mail Order Form
			-------------------

Site License:  A site license for MakeYourOwn screen saver entitles an 
organization to receive one copy of the software and to duplicate the 
distribution disk for the specified number of copies for use within the 
organization.


Multiple Copy License:  Multiple Copy license for MakeYourOwn screen 
saver entitles an organization to receive one copy of the software and 
to duplicate the distribution disk for the specified number of copies 
for use within the organization or outside the organization. Use 
multiple copy license if you are distributing the software to your 
client with your software or hardware. 

For Custom Screen Saver and Distributor/Reseller pricing, send your inquiry
to sales@customsavers.com


                     MYOSS Single Copy for $10.95  = ______
                 2 Copies(Home&Office) for $15.95  = ______

MYOSS Site License Pricing:
                             5 Computers for  $40  = ______
                            10 Computers for  $75  = ______
                            20 Computers for $110  = ______
                            25 Computers for $125  = ______
                            50 Computers for $200  = ______
                           100 Computers for $275  = ______
                           150 Computers for $300  = ______
                           200 Computers for $325  = ______
                           300 Computers for $375  = ______
			   500 Computers for $475  = ______


MYOSS Multiple Copy Pricing:
     2 to   9 computers: ____ copies at $8.50 each = ______
    10 to  24 computers: ____ copies at $7.50 each = ______
    25 to  49 computers: ____ copies at $6.00 each = ______
    50 to 100 computers: ____ copies at $4.50 each = ______


California residents add 7.75% sales tax           + ______
Credit card processing
	$2.95(USA)/$3.95(International)   	   + ______ 	   

                         Total payment               ______

 
             Name: ________________________________________

          Company: ________________________________________

         Address1: ________________________________________

         Address2: ________________________________________

 City, State, Zip: ________________________________________

          Country: ________________________________________
 
            Phone: ________________  Fax:  ________________
 
    Email address: ________________________________________

2nd Email address: ________________________________________

How did you hear about us? ________________________________

___________________________________________________________

 
Payment Type:

[ ] VISA [ ] MasterCard [ ] American Express  [ ] Discover

[ ] Check  [ ] Money Order


Credit Card Number: ______________________________________

Expiration Date:    ______________________________________

Name On Card:       ______________________________________


Make checks payable to Preferred Computer Services.

Fax the above form to (714) 283 - 3026. Your registration id will be
Emailed to you within 24 hours.

Or Mail the form to:

Preferred Computer Services
P. O. Box 488
Atwood, CA 92811-0488