JS-FCOPY ORDER FORM :    Prices subject to change without notice.

    TO: 				  Date: ____________________
                Johnathan Mark Smith
                2039 85 Street
                BROOKLYN, NY 11214
                USA
    FROM:
	  Name: ____________________________________________________

     [Company]: ____________________________________________________

      Reg. Name: ____________________________________________________
                [Used to register your software, 50 characters max.]

       Address: ____________________________________________________

	  City: ____________________________________________________

	 State: __________________________ Postal Code: ____________

       Country: __________________________ Phone: __________________

    ========================================================================

    FOR NEW USERS
    -------------

    SINGLE REGISTRATION for the use of JS-FCOPY
    for MS-DOS:   1 registration at $15 ........................$15   ______

    INTERNAL SITE LICENSE for the use of JS-FCOPY
    for MS-DOS:  (Choose ONLY ONE of the following JS-FCOPY price schedules)
          2 to  10 computers ............................. ___x $17   ______
    or   11 to  40 computers ............................. ___x $20   ______
    or   41 to  75 computers ............................. ___x $25   ______
    or   76 to more computers ............................ ___x $30   ______
    



    FOR VERSION UPGRADE
    -------------------

    SINGLE REGISTRATION for the use of JS-FCOPY
    for MS-DOS:   1 registration at $5  ........................$5    ______

    INTERNAL SITE LICENSE for the use of JS-FCOPY
    for MS-DOS:  (Choose ONLY ONE of the following JS-FCOPY price schedules)
          2 to  10 computers ............................. ___x $7    ______
    or   11 to  40 computers ............................. ___x $10   ______
    or   41 to  75 computers ............................. ___x $12   ______
    or   76 to more computers ............................ ___x $15   ______
    



    FOR SUBSCRIPTION TO JS-FCOPY (You will get 5 free upgrades)
    ------------------------------------------------------------

    SINGLE REGISTRATION for the use of JS-FCOPY
    for MS-DOS:   1 registration at $25 ........................$25   ______

    INTERNAL SITE LICENSE for the use of JS-FCOPY
    for MS-DOS:  (Choose ONLY ONE of the following JS-FCOPY price schedules)
          2 to  10 computers ............................. ___x $29   ______
    or   11 to  40 computers ............................. ___x $35   ______
    or   41 to  75 computers ............................. ___x $45   ______
    or   76 to more computers ............................ ___x $55   ______
    
    ========================================================================


    TOTAL PRODUCTS                                                  $ ______

    Add $3.00 for shipping and handling                          +  $   3.00



                                                     TOTAL ENCLOSED $ ______



    Payment method:  ( ) Cash       ( ) Check       ( ) Money order



    ONE software & documentation diskette included:
    Diskette format (choose one) 5.25" disk ___   3.5" disk ___

   ========================================================================

    AUTHORIZED SIGNATURE: __________________________________________________

    TITLE: __________________________________________  DATE: _______________

    ========================================================================

    1)  How did you find out about JS-FCOPY?

	( ) Friend, co-worker	    ( ) BBS ______________________________

        ( ) Other ________________________________________________________

    2)  What do you like about JS-FCOPY?  (check as many as apply)

        ( ) Pricing                 ( ) Features
        ( ) Support                 ( ) Documentation
	( ) Other ________________________________________________________

    TERMS:

    Payment may be made by check, US POSTAL Money Order or International
    Money Order in USA funds drawn on a USA bank made out to
    Johnathan Mark Smith.

    Please allow a 2 to 4 weeks for delivery.