===========================================================================
             F I T N E S S M A T E     O R D E R     F O R M
  ===========================================================================
  Avocation Technologies :  2455 Laurel Lane,  Sycamore, IL  60178  USA
  ===========================================================================

  Avocation Technologies offers discounts on quantity orders, multiple-
  user licenses, and dealer pricing.  We also give a 30% discount to students,
  handicapped individuals, and senior citizens (please include a copy of your
  valid student ID, drivers license, etc;).  We accept company or personal
  checks, and money orders.  Credit card orders are not yet available.
  You can use this handy order form to order by MAIL.

  FitnessMate Includes  :  The latest release of FitnessMate, lifetime
  registration including low-cost upgrades, technical support line, and
  on disk program reference manual.

  For Registered Customers - Current Serial Number: _________________________

  Standard Version (No CoProcessor) : _____  Math CoProcessor Version : _____

  Diskette size :    5 1/4 : _____  3 1/2 : _____    # COPIES         TOTAL

  Commercial License Registration          $50.00  x  ________  =  $ ________

  Non-Commercial License Registration      $35.00  x  ________  =  $ ________

  Student Discount License Registration    $25.00  x  ________  =  $ ________

  Seniors Discount License Registration    $25.00  x  ________  =  $ ________

  Handicapped Discount License Reg.        $25.00  x  ________  =  $ ________

  Illinois Residents, Please add Sales Tax ( TOTAL x 7% )       =  $ ________

  Shipping : USA - ..................................... $5.00  =  $ ________

  Shipping : FOREIGN - ................................ $10.00  =  $ ________

  Registered Users : Upgrade Diskette       $5.00  x  ________  =  $ ________

  Total ( U.S. Funds drawn on U.S. Bank )                       =  $ ________

  PLEASE INCLUDE WITH YOUR ORDER :

  Name    :__________________________________________________________________

  Company :__________________________________________________________________

  Address :__________________________________________________________________

           __________________________________________________________________

           __________________________________________________________________

  Voice Phone :_______________________ Alternate Number :____________________

  Thank you for "going beyond best," and choosing FitnessMate!

  Mail to : Avocation Technologies : 2455 Laurel Lane, Sycamore, IL 60178 USA