--------------------------------------------------------------------------- Order Form NyTower ISAM Version 1.1 Your Name: ________________________________________ Company: ________________________________________ Address: ________________________________________ City: ________________________________________ State and Zip: ________________________________________ Telephone: ________________________________________ -------------------------------------------------------------------------- Source Code Media: 5 1/4" Diskette ___ 3 1/2" Diskette ___ -------------------------------------------------------------------------- Price Qty Total Registration: _____ _____ N/C Distribution Diskette and User's Guide: $34.00 _____ _____ Total: _____ ---------------------------------------------------------------------------- Mail this form with a check or money order to: NyTower Software P.O. Box 206 Exton Pa. 19341-1614