                         +--------------------------+
                         |  M a s t e r -  W a r e  |
                         |  ======================  |
                         |    O r d e r  F o r m    |
                         +--------------------------+

Date : _____________

Name of Program :_________________________   Version Munber : _________


Your Name :     ____________________________________________________

Mailing Address : __________________________________________________

                  __________________________________________________


Voice Phone Number  : ______________________________________________

Comment/Suggestions : ______________________________________________

                      ______________________________________________

                      ______________________________________________


Prices :(Free) if you provide the disk and mailer (Postage Paid)

       ($7.00) If you do not provide a disk or disk mailer(Does not cover
           Registration.

   What do you want the progran on  ( ) 360k Floppy      ( ) 1.2  5 1/4 floppy
     (Check only one of these if you DID NOT SEND A DISK OR DISK MAILER)


Make Check or Money Order out to:
James Frazee, and mail to:

    Master-Ware
    P.O Box 1543
    Granite Falls,Wa  98252
