PicaView 32 v1.0 Order Form

	USA				Canada
	ACD Systems, Inc.		ACD Systems, Ltd.
	177 Telegraph Rd.  #591   	PO Box 730
	Bellingham, WA USA  98226	Victoria, BC Canada V8W 2P9

	North America (toll-free)	International
	Phone: 	1 (800) 414 2237	Phone: 	1 (250) 475 6702
	Fax: 	1 (800) 819 2207	Fax: 	1 (250) 475 6651

Name___________________________________________ Date____________

Company________________________________________ Phone___________
                     
Street_________________________________________ FAX_____________

City__________________ Country_________ ZIP/Postal code_________

Email___________________________________________________________	


ALL AMOUNTS ARE IN UNITED STATES DOLLARS.  Prices honoured until 
June 30, 1997.  Please call about site licenses rates, special 
educational discounts and other offers.

Single user license:		_______@ $20.00      =  _______
	(or)
Single user license + 
   latest version on disk:	_______@ $30.00      =  _______

Disk shipping and handling, if applicable
        U.S. and Canada		_______@ $4.95       =  _______
        Other Areas		_______@ $11.00      =  _______

        Total (US funds only)                           _______


Method of payment:  Cheque__  Money order__  Mastercard__  VISA__


Name exactly as on credit card _________________________________

Card Number________________________________  Exp.Date___________

Signature_______________________________________________________