Order Form ---------- Fill in the information below, and mail with a check or money order for $29.95 to Minuteman Systems P.O. Box 152 Belmont, MA. 02178 Service Telephone (617)489-5639 You will receive a printed and bound manual, telephone support, free updates for one year, and a personalized diskette. Name ___________________________________________________________ Address ______________________________________Apt\MailStop______ City/Town ___________________________ State_____ ZipCode________ Telephone - Business:_________________ Home:__________________ Media : _______ 5.25" floppy ______ 3.5" micro-floppy How did you obtain this program? -------------------------------- Service/BBS : Compuserve __ Delphi __ Prodigy __ Other _______ Sample: ___ Shareware Vendor : Name ___________________________ Other : _________________________________________________________ Incentive Referral : List here a registered user who referred this program to you and they will receive $5.00. Name ___________________________________________________________ Company ________________________________________________________ Address ______________________________________Apt\MailStop______ City/Town ___________________________ State_____ ZipCode________ Telephone - Business:_________________ Home:__________________ Comments ------------------ Please describe here what you like about MainLine, what you would like to see improved, additional features you would like to see, or make any other comments;