Order Form

MAIL TO:
ValuSoft
P.O. Box 95573
Hoffman Estates, IL 60195

FROM:

Name           : __________________________________

(Company)      : __________________________________

Address        : __________________________________

City           : __________________________________

State, ZIP Code: __________________________________

(Country)      : __________________________________

(Optional) Occupation: ______________________________________________

Main use of computer: _______________________________________________
Daytime
Phone #: _________________________  FAX #: __________________________

Desired Disk Size:   [   ] 3.5 "         [   ] 5.25"
We will send 3.5" disks if boxes are unmarked.

INDIVIDUAL USE
  * HamHelp Diskette with programs .................. $10.00   ______

MULTIPLE USE
 * SITE LICENSE for the use of HamHelp.
   (INCLUDES ONE DISKETTE WITH PROGRAMS)
   2 to   9 computers at $7.50 each  # computers ___x  $7.50   ______
  10 to  24 computers at $6.00 each  # computers ___x  $6.00   ______
  25 to  49 computers at $4.50 each  # computers ___x  $4.50   ______
  50 to  99 computers at $3.00 each  # computers ___x  $3.00   ______
 100 to 199 computers at $2.50 each  # computers ___x  $2.50   ______
 200 to 500 computers at $2.00 each  # computers ___x  $2.00   ______
WRITE FOR PRICING ON QUANTITIES OVER 500.

Extra program disk with purchase of SITE LICENSES 
OF 2 OR MORE available at $3.00 each.            ___x  $3.00   ______

Shipping & Handling (Postal) US & Canada $3.00/disk
Outside US & Canada $6.00/disk                                 ______

ILLINOIS RESIDENTS add 8.25% State & County Sales Tax          ______

TOTAL ENCLOSED US FUNDS                                    US$________

TERMS:  Check or Money Order drawn on a U.S.A. bank in U.S.A. funds.
        Please make remittance payable to ValuSoft. Prices and terms 
        subject to change without notice.