--- ORDERING DR. FORM ---

       Dr. Form is a "Shareware" program.  Shareware is the concept of
  "try before you buy".  A lot of time and effort went into the making
  of Dr. Form.  If you find that it is not for you, then that is fine.
  Please pass Dr. Form on to a friend.  In fact, you are encouraged to
  pass it on to as many people as you like.  That is the concept of
  Shareware.

       If you use Dr. Form beyond the initial 30 day evaluation period
  you are required to license it.

       To license Dr. Form, select "Fill In a Form" from the Menu Page
  and load the form  ORDER.FMS.  Use the TAB key and fill it in, then
  just print it out.  You can also just fill out the order form
  on the next page.

* To order locally in countries outside the U.S., see file:  FOREIGN.TXT *

There are several ways to order:

  1.  By mail with check, money order or credit card to:
         IrwinWare
         113 Beechmont Ave.
         Pittsburgh, PA  15229

  2.  Toll free through "Public (software) Library" (PsL)
         1-800-242-4775  Program #10925    (Orders ONLY.  IrwinWare
                                            CANNOT be reached at this number)

  3.  FAX:  1-412-931-8442  (24 HRS.  Make sure you include your card number
                             and sign it)

  4.  On CompuServe by entering GO SWREG at any prompt. Registration ID: 1250

      Please direct questions or other correspondence to:
        IrwinWare                     1-412-931-9577 (Voice)
        113 Beechmont Ave.            1-412-931-8442 (Fax  24 HRS)
        Pittsburgh, PA 15229          email: 71045.222@compuserve.com

       All licensed users will receive the latest licensed version.
  The licensed version will have the printed Watermark removed.  The
  Watermark is the - "Printed with Dr. Form" - that is printed at the
  bottom of each form that you print.  The licensed version will also
  have the Shareware screen removed.
       You will also receive a printed manual, 50 additional Forms on disk
  ready to use (or modify), a year of phone support (including support on
  CompuServe) and substantial discounts on future releases.

       Thank you for trying Dr. Form



               DR. FORM (tm)  -  Version 3.21  -  Order Form
-------------------------------------------------------------------------------
As a licensed user of DR. FORM I understand that I will immediately receive
the latest licensed version, a printed manual, 50 additional Forms on disk,
one year of support and removal of the Watermark -> Printed with Dr. Form <-

Unless otherwise requested, 3 1/2" disks will be shipped.   ___________________
                                                            If special request,
Name _______________________________________________        enter here.

Company ____________________________________________

Address ____________________________________________   Apt _________________

City ____________________  State/Province _________________  Zip ___________

Country _________________   Phone _________________   Fax __________________
-------------------------------------------------------------------------------
(To order locally in countries outside the U.S., see file: FOREIGN.TXT)

** ALL FEES PAYABLE IN U.S. DOLLARS **   Quantity     Price       Amount

DR. FORM 3.21                            ________  X  $39.00  =   $__________

Shipping & Handling:  $4 US & Canada - $6 International       =   $__________

Sales Tax (PA residents only) 6%         ________  X  $2.58   =   $__________

(Call, write or Fax for site licenses)                     TOTAL  $__________

___________ By Mail ________________ THESE NUMBERS ARE FOR ORDERS ONLY _______
|                             |                                              |
|  IrwinWare                  | To Register with MC, Visa, Amex or Discover  |
|  113 Beechmont Ave.         | through PsL call:  1-800-242-4775  (#10925)  |
|  Pittsburgh, PA  15229      |______________________________________________|
|                             | To FAX your order, fill out this form        |
|_________ Questions _________| and FAX it to:  1-412-931-8442 (24 Hrs)      |
|                             |                                              |
| 1-412-931-9577 (Voice)      | Credit Card No.  ____________________________|
| 1-412-931-8442 (Fax 24 Hrs) | Expiration Date  ___/___                     |
| CompuServe: 71045,222       |  __ MC    __ Visa    __ Amex    __ Discover  |
|_____________________________|                                              |
|  To order on CompuServe:    | Name on card: _______________________________|
|  GO SWREG  at any prompt    |                                              |
|  Registration ID:  1250     | Signature  __________________________________|
|____________________________________________________________________________|
Would you please answer the following questions. (Optional)

Where did you get your copy of DR. FORM? _____________________________________

Do you run Dr. Form in:   __ DOS    __ Windows 3.1    __ Windows 95

What computer do you have? _____________________  Printer? ___________________

What other "Form" programs (if any) have you tried? __________________________

Any additional comments: