Histopic Ver 1.07  Mar 6 1996
              
           **** DO NOT SEND CREDIT CARD INFORMATION VIA E-MAIL  ****

  You can purchase Histopic in the any of the following ways following ways:
    
  1,  Simply print out and complete the Histopic
   Order Form below and mail it to:
  
        Ball Software
        6255 West Tropicana
        Box 429
        Las Vegas, NV 89103

   Upon receipt of this form, we will process your order and send you
   a confirmation email within two business days.  If you are paying by
   personal check, please note that five business days are required
   to approve your order.

  2. If you or a friend have a Compuserve account, you can use the 
   Compuserve shareware registration facility (GO SWREG).  The registration 
   ID for the Histopic program is 9289.  

   If you have any questions or trouble with this form send email 
   to 102517.3554@compuserve.com


--- Cut Here --------------------------------------------------------

First                                 Last
Name    ___________________________   Name  _________________________

eMail   _____________________________________________________________
        (example:  jane.smith@youraddress.com)

Street  _____________________________________________________________

        _____________________________________________________________

City    ________________________  State/Prov.________________________

Zip/Post________________________  Country    ________________________

Phone   ________________________  Fax        ________________________

    Deliver program to me by   E-mail __   Postal Sevvice __

 -------------------------------------------------------------------
| Product                                      | Quantity |   Price |
|--------------------------------------------- |----------|---------|
| Histopic Picture History Manager             |          |  $22.00 |
|--------------------------------------------- |----------|---------|

                                                Subtotal:  __________

            See table below for rates / Shipping Charges:  __________
              (no shipping charge for E-mail)   
                                                   Total:  __________

Choose a Payment Method:
 -------------------------------------------------------------------
| [ ] Check (US banks only)  [ ] Money Orders (US currency only)    |
| [ ] MasterCard  [ ] Visa   [ ] American Express                   |
|                                                                   |
| Card Number ___________________________  Expires on _____ / _____ |
|                                                     month   year  |
 -------------------------------------------------------------------

    ------------------------------------
   | Destination     | Shipping Charges |
   |-----------------|------------------|
   | United States   |            $5.00 |
   |-----------------|------------------|
   | Canada          |            $8.00 |
   |-----------------|------------------|
   | Other Countries |           $16.00 |
    ------------------------------------