PrivateEXE v2.0a for Win'95/NT Copyright (c) 1996,1997 by MidStream, Inc. All rights reserved. O R D E R F O R M NOTE 1: If you wish to order with VISA, MasterCard, American Express or Discover credit card please contact Public Software Library (PSL), which handles all credit card orders. See README.TXT file or PrivateEXE Help for more details on how to contact PSL. NOTE 2: (SCANDINAVIAN USERS ONLY): please contact your local distributor, Pro Soft. See on-line Help for more information on how to reach Pro Soft in Denmark. ALL OTHER COUNTRIES: For personal checks, cash, postal money orders, or purchase orders (sorry, no Eurocheques!) please provide the following information below: _____________________________________________ ______________ Your name Date ___________________________________ ________________________ Street City State/Pr Zip ______________ __________________ ________________________ Country Phone E-mail address ______________________________________________________________ Where did you hear about PrivateEXE? ============================================================== # Descrpition Qty Price Total ============================================================== 1. PrivateEXE full licensed version: ___ x $29.95 $_____ 2. BONUS BrainCubes Game: ___ FREE FREE 3. BusinessCards (with PrivateEXE ___ $19.95 $_____ only, when ordering directly from MidStream, Inc.) 4. 5-Or-More! (with PrivateEXE ___ $19.95 $_____ only, when ordering directly from MidStream, Inc.) 5. Shipping and Handling (optional, your e-mail address is REQUIRED if you prefer Internet delivery) USA: ___ $3.00 $_____ Canada/Mexico: ___ $4.00 $_____ International (all other): ___ $5.00 $_____ GRAND TOTAL: $_____ ================================================================ See the online help or visit us at http://www.midstream.com for more information about highly acclaimed BusinessCards and 5-Or-More! software. Please mail completed order form along with your payment to: MidStream, Inc. P.O.Box 862 San Bruno, CA 94066-0862 USA Thank you for your business!