ORDER FORM - PB/VISION(tm) for PowerBASIC 3.x
    ----------------------------------------------------------------------
      PB/VISION(tm) PROFESSIONAL DEVELOPMENT SYSTEM - INTRODUCTORY OFFER
        Includes PB/VISION(tm) _and_ PB/WORKSHOP(tm) Visual Designer
                      ONLY $69.95 UNTIL JULY 15, 1994
    ------------------------------------------------------------[ASP-0294]

    TO:                           FROM:
    DSE SOFTWARE PUBLISHING       ________________________________________
    POST OFFICE BOX 96            Name
    WILLITS, CA 95490-0096        ________________________________________
    USA                           Company (ONLY if ordering for a company)
                                  ________________________________________
    Voice: (707) 459-4358         Address
    FAX/BBS: (707) 459-4484       ______________________  _____  _________
                                  City                    State  Zip
    GEnie: "DSE.SOFTWARE"         ______________________  ________________
    FidoNet: 1:125/123            Phone                   Fax
    InterNet: dse.software@genie.geis.com   

    ================= P R O D U C T S   R E Q U E S T E D ================

    ORDER    DESCRIPTION                             PRICE  QTY  EXTENDED
    -------  --------------------------------------  -----  ---  --------
    20810    PB/VISION(tm) Lite Edition              24.95  ___  ________
    20811    PB/VISION(tm) Standard Edition          49.95  ___  ________
    20815    PB/VISION(tm) Professional Edition      69.95  ___  ________
 |> TECHREF  DOS Programmer's Technical Reference     5.00  ___  ________
 |> SHAREBK  The Shareware Book (A Marketing Guide)   5.00  ___  ________
 |
 |> See EXTRAS.TXT for complete information on these titles (5.25" ONLY)

    Shipping and Handling (Indicate Below) ....................  ________
    Sales Tax (CA. Residents add 7.25%) .......................  ________
    Total Order (United States Funds ($US FUNDS) Only) ........  ________

    DISK SIZE  SHIPPING/HANDLING          SHIPPING REQUIREMENTS
    ---------  -------------------------  --------------------------------
    [_] 3.50"  [_] USA            $ 5.50  USA / SHIPPED 2 DAY PRIORITY
    [_] 5.25"  [_] CANADA         $ 5.50  REQUIRES POSTAL MONEY ORDER ($US)
               [_] OVERSEAS       $10.00  SEE "TERMS OF SALE" (below)

    ========================== CREDIT CARD ORDERS ========================

    [ ] VISA         -> TOTAL ORDER : $_________ <- enter total order here
    [ ] MASTERCARD   -> CARD HOLDER : ____________________________________
                     -> CARD NUMBER : ____________________________________
    EACH LINE MUST ---> EXPIRATION  : ___ / ___
     BE FILLED IN  ---> SIGNATURE   : ____________________________________

    ============================ TERMS OF SALE ===========================

    o  All checks must be drawn on a United States bank and in $US funds.
    o  Purchase Orders:  Please call for authorization.
    o  Returned check fee: $100 (for insufficient funds.