Neighborhood Watch (tm) Order Form
   
Please register a copy of Neighborhood Watch:    To register an order:
                                                 Call (617) 393-5460
1 Your Name [______________________________]     Fax  (617) 393-5461
  Telephone [______________________________]     or Mail this form to:

                                                 Ethosoft, Inc.
                                                 196 Boston Ave., Suite 3500
                                                 Medford, MA. 02155
2 LICENSE TYPE

  Neighborhood Watch is sold on a per     Units  Nodes   Price  Total Price 
  node basis allowing all nodes to      +-------+-----+---------+-----------+
  share their screen savers.  Call for  | [   ] |   5 | $ 79.00 | [       ] |
  corporate, site, and upgrade pricing. | [   ] |  10 | $119.00 | [       ] |
                                        | [   ] |  25 | $209.00 | [       ] |
     +---------------------------+      | [   ] |  50 | $329.00 | [       ] |
     |      Shipping Charges     |      | [   ] | 100 | $495.00 | [       ] |
     | Ground:             $6.00 |      | [   ] | 250 | $995.00 | [       ] |
     | 2 Day Air:         $11.00 |      +-------+-----+---------+-----------+
     | Overnight:         $16.00 |                              |           |
     | COD Orders:    add  $5.00 |                    Shipping: | [       ] |
     | Canada/Mexico: add $15.00 |               Mass Residents |           |
     | Other Int'l:   add $30.00 |                  add 5% TAX: | [       ] |
     +---------------------------+                 Order Total: | [       ] |
                                                                +-----------+
3 BILL TO

  Name:       [____________________________________________]
  Company:    [____________________________________________]
  Street:     [____________________________________________]
              [____________________________________________]
  City:       [____________________________________________]
  State, Zip: [____________________________________________]

4 SHIP TO (if different than above)
  
  Name:       [____________________________________________]
  Company:    [____________________________________________]
  Street:     [____________________________________________]
              [____________________________________________]
  City:       [____________________________________________]
  State, Zip: [____________________________________________]

5 PAYMENT

  We accept company purchase orders (credit subject to approval), VISA,
  MasterCard, American Express, COD, checks, and money orders (check one).

  P.O. # [_____________________________________]
  [_] VISA  [_] MC  [_] AmEx  [_] Check  [_] Money Order  [_] COD

  Credit Card # [_________________________________________]
  Expiration    [_____________]

  Signature     [_________________________________________]