VDS Advanced Research Group
                              P.O. Box 9393
                        Baltimore, MD 21228, U.S.A.

                             VDS Order Form
                                                                       
                                                Date: ___/___/_____

Name:________________________________________________________________

Address:_____________________________________________________________
       
        ________________City: ____________ State: _____ Zip:_________

Phone:  (      )        -                      (      )       -      

Contact Person:______________________________________________________

License Type:    ( ) Personal    ( ) Academic    ( ) Business

Number of Copies:______________

Total Amount: $19.00 x Number of Copies = ________  + $2.95 = _______

Recommended By:___________________________________________________

Comments:____________________________________________________________

         ____________________________________________________________
         
         ____________________________________________________________
                  

* Fill in the blanks, include a money order (outside the U.S.) or check for
  the total amount and mail it to our address at the top. Allow 2 weeks
  for delivery. Mailing cash is acceptable but not recommended.