
                              Image ORDER FORM

                                  Remit To:

                             TeraByte Unlimited
                        1350 N. Town Center Dr. #1049
                             Las Vegas, NV 89144   


Registration Name: __________________________________  Date: ________________

Mailing Address: ____________________________________  Phone: _______________

                 ____________________________________  Fax: _________________

                 ____________________________________  PC: __________________

Shipping Address:____________________________________  HD Type: _____________

                 ____________________________________  Primary OS: __________

                 ____________________________________  Secondary OS: ________

E-Mail Address:  ____________________________________  

How did you learn about Image:  _____________________________________________


     =======================================================================
     |            Description               | Unit Price | Qty  | Extended |
     |==========================================================|==========|
     |  Image                               |     $18.95 |      |          |
     |----------------------------------------------------------|----------|
     |  OEM IMAGE CLIENT                    |   $1500.00 |      |          |
     |  (Up to 500 clients)                 |            |      |          |
     |----------------------------------------------------------|----------|
     |  OEM IMAGE CLIENT                    |   $2500.00 |      |          |
     |  (Up to 1000 clients)                |            |      |          |
     |----------------------------------------------------------|----------|
     |  OEM IMAGE CLIENT                    |   $7500.00 |      |          |
     |  (Up to 5000 clients)                |            |      |          |
     |----------------------------------------------------------|----------|
     |  OEM IMAGE CLIENT                    |   $9000.00 |      |          |
     |  (Up to 10000 clients)               |            |      |          |
     |----------------------------------------------------------|----------|
     |  OEM IMAGE CLIENT                    |  $14000.00 |      |          |
     |  (Unlimited)                         |            |      |          |
     |----------------------------------------------------------|----------|
     |  Shipping and Handling Fees for orders sent TO you via   |          |
     |  hardcopy add $9.95.                                     |          |
     |==========================================================|==========|
                  |   Nevada residents add sales tax            |          |
                  ==============================================|==========|
                     TOTAL CHECK OR MONEY ORDER ENCLOSED*       |          |
                                                                ============
     * Check or Money Order must be drawn on a U.S. bank in U.S. Dollars.

     * If you don't have a U.S. bank account then contact your bank and they
       may be able to send a check for you.  You may also be able to send
       an international postal money order.  In any case be sure to fill out
       this form and send it with a notice that the check will be arriving
       separately.
