P C - F l o w
                                 Version 2.02a


    Mail to:  Dan Comeau
              DanlWare Systems Corp.
              603-1320 Richmond Rd
              Ottawa, Ontario, Canada
              K2B-8L3
                                                   Qty   Each   Extended
                                                   ~~~  ~~~~~~  ~~~~~~~~
    PC-Flow Registration, Printed Manual,
            and Latest Version                     ___   $40US  $_______

    PC-Flow Latest Version                         ___   $10US  $_______

    Shipping and Handling ($3 per copy)            ___   $3US   $_______

                                                   SubTotal...: $_______

    Goods & Services Tax (Canadians only)          7%.........: $_______

                                                   Total......: $_______

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    Indicate diskette type for your order:

    ___  5.25" 1.2MB Diskette            ___  3.5" 720KB Diskette

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    Hardware Information (check those options that apply to your hardware):

    ___  5.25" 360K Diskette Drive       ___  5.25" 1.2MB Diskette Drive

    ___  3.5" 720KB Diskette Drive       ___  3.5" 1.44MB Diskette Drive

    ___  Hard Drive

    Video Display:  ___ Monochrome   ___ CGA   ___ EGA   ___ VGA

    Computer Name/Type: ______________________________________________

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    Are you interested in a Windows version of this program? ___ Yes ___ No

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    Name    : ____________________________________________________________

    Address : ____________________________________________________________

    City    : _________________________   Postal/Zip Code: _______________

    Country : _________________________

    Phone   : (     ) _____ - _________

    CompuServe ID    : _____________________________________

    InterNet Address : _____________________________________