GroupShade (tm) Order Form
   
Please register a copy of GroupShade:            To register an order:
                                                 Call (617) 393-5460
1 Your Name [______________________________]     Fax  (617) 393-5461
  Telephone [______________________________]     or Mail this form to:

                                                 Ethosoft, Inc.
                                                 196 Boston Ave., Suite 3500
                                                 Medford, MA. 02155
2 LICENSE TYPE

  GroupShade is sold on a per node        Units  Nodes   Price  Total Price 
  basis allowing all nodes to share     +-------+-----+---------+-----------+
  their screen savers.  You can         | [   ] |   5 | $ 19.50 | [       ] |
  upgrade at any time to increase       | [   ] |  10 | $ 34.50 | [       ] |
  the number of simultaneous node       | [   ] |  20 | $ 49.50 | [       ] |
  connections.                          | [   ] |  25 | $ 59.50 | [       ] |
                                        | [   ] |  50 | $ 99.50 | [       ] |
  Note: Upon receipt of payment a       | [   ] | 100 |$ 149.50 | [       ] |
  confirmation letter will be sent      | [   ] | 250 |$ 199.50 | [       ] |
  documenting your registration and     +-------+-----+---------+-----------+
  license type.                                       Subtotal: | [       ] |
                                                 Mass Residents |           |
                                                    add 5% TAX: | [       ] |
                                                   Order Total: | [       ] |
                                                                +-----------+
3 BILL TO

  Name:       [____________________________________________]
  Company:    [____________________________________________]
  Street:     [____________________________________________]
              [____________________________________________]
  City:       [____________________________________________]
  State, Zip: [____________________________________________]

4 SHIP TO (if different than above)
  
  Name:       [____________________________________________]
  Company:    [____________________________________________]
  Street:     [____________________________________________]
              [____________________________________________]
  City:       [____________________________________________]
  State, Zip: [____________________________________________]

5 PAYMENT

  We accept company purchase orders (credit subject to approval), VISA,
  MasterCard, American Express, COD, checks, and money orders (check one).

  P.O. # [_____________________________________]
  [_] VISA  [_] MC  [_] AmEx  [_] Check  [_] Money Order  [_] COD

  Credit Card # [_________________________________________]
  Expiration    [_____________]

  Signature     [_________________________________________]