POWERTIME 1.00 ORDER FORM
-------------------------

 NuIQ Software, Inc.
 Post Office Box 832
 Larchmont, New York 10538 USA

 Tel: (914) 833-3479  Fax: (914) 833-3623

 Quantity       Description                     Each       Total
 --------       -----------                     ----       -----

 _______        PowerTime Chart Program         $15        _____

                Shipping And Handling:

                $5 first item, $2 each add'l in USA 48 States

                $12 first item, $2 each add'l in AK, HI, PR, VI,
                GU, AS, FPO, APO and Canada

                $24 first item, $4 each add'l overseas     _____

                SALES TAX:

                NY residents add sales tax for your county _____


                TOTAL                                      _____


If ordering by check, please make checks payable to: NUIQ SOFTWARE INC.

If you would like to order by credit card, orders may be placed
by telephone at 914-833-3479 or by fax at 914-833-3623.

For mail orders by credit card, please complete the following
information:

Cardholder:   ______________________________________________________

Card Type:    VISA  /   MASTERCARD   /  DINERS CLUB  / CARTE BLANCHE

Card Number:  ______________________________________________________

Expiration:   ______________________________________________________

Signature:    ______________________________________________________



 Date:        ___/___/_____

 Name:        ______________________________________________________

 Company:     ______________________________________________________

 Address:     ______________________________________________________

              ______________________________________________________

 Phone:       ______________  Fax: ____________ BBS: _______________

 Disk Type:   5.25" _____________  or  3.5" _____________


 How did you hear about PowerTime:

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 Comments:

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