To obtain VUIMAGE PLUS(tm), please fill out this form and send along with 
  check or money order (or fill out credit card information) to:
        Offe Enterprises (Attn: Orders)
        1163 E. Ogden Avenue, Suite #705-131               BBS:708-357-6680
        Naperville, IL 60563, USA       Tel: 708-357-6679, Fax:708-357-6683
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  (PLEASE PRINT OR TYPE)
            End User Name: ________________________________________________
  
  Company (if applicable): ________________________________________________
  
       Address to ship to: ________________________________________________
    
                           ________________________________________________
    
                           ________________________________________________
    
  Phone: Day:___________________ Eve:_________________ Fax: _______________
  
  Signature: _______________________ Date: ____________
  
  Option 1:  Disk + printed manual (pre-registered to End User above)
  Option 2:  Disk + printed manual + registration card + case
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  QUANTITY         DESCRIPTION                         UNIT PRICE    TOTAL
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  ____   VUIMAGE PLUS(tm) single user license-Option 1   US$35.00    ________
  ____   VUIMAGE PLUS(tm) single user license-Option 2   US$50.00    ________
  ____   _____________________________________________   ________    ________
  
                                             Additional Taxes*       ________
                 Additional Shipping Charges (Intl/COD/Email)*       ________
  
  ___ 5.25 inch  ___ 3.5 inch                           Total  US $  ________
  
  * VUIMAGE PLUS(tm) price includes taxes and shipping within USA.
    Add US $5.00 for shipping to outside USA.
  
  Check/Money Order enclosed for US $ ___________
  
  I hereby authorize the above amount to be charged to my Mastercard__ VISA__
  Account #___________________________, EXP: _____, Name on card:____________
  
  Signed:  __________________
  
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  VUIMAGE(tm) Version # (upper left corner of main menu): 3.31____ Other_____
  
  Place obtained from : ______________________________________Tel:___________
  
  Main Interest:  GIF ___  TIFF ___  PCX ___  View ___  Print ___  Others ___
                   __________________________________________________________
  
  Type of Computer __________________ Type of Operating System ______________
  
  Type of video card/monitor ________________________________________________
  
  Additional Comments: ______________________________________________________
  
  ___________________________________________________________________________ 
  F#: D72-HF90-FSO