Quantity ________  x $ 10.00    =           $  ________ 
 
Shipping (U.S. $4.00, Canada and  
  Mexico $6.00, foreign $8.00)              $  ________ 
 
Total                                       $  ________ 
 
Please include a Check or Money Order made payable to 
Dream Chaser Software. 
 
 
 
	  Diskette size: [  ] 3.5"   [  ] 5.25"  
 
 Name     _______________________________________________ 
 Company  _______________________________________________ 
 Address  _______________________________________________ 
	  _______________________________________________ 
	  _______________________________________________ 
 Phone    _______________________________________________ 
 
I have read and agree to abide by the license agreement: 
 
 Signature  _____________________________________________ 
 
 
Where did you get Stardate Calculator
?________________________________________________________ 
 
If you received Stardate Calculator from a BBS, what is its complete name and phone number
?________________________________________________________ 
_________________________________________________________ 
 
Please include any comments or suggestions on the lines 
which follow.  Use an additional page if necessary. 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
 
 
Mail this form to:  Dream Chaser Software
		    P.O. Box 5265
		    Westport, Or, 97016