                                                           F#: U53-P090-0M0
  To order VUIMAGE PLUS(tm), please fill out this form and send along with 
  check or money order (or fill out credit card information) to:
        Offe Enterprises (Attn: Orders)                    Tel:708-357-6679
        1163 E. Ogden Avenue, Suite #705-131               BBS:708-357-6680
        Naperville, IL 60563, USA                          Fax:708-357-6683
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  (PLEASE PRINT OR TYPE)
  End User Name (individual): _____________________________________________
  
  Company (if applicable): ________________________________________________
  
       Address to ship to: ________________________________________________
    
                           ________________________________________________
                 
                           ________________________________________________
    
  Phone: Day:___________________ Eve:_________________ Fax: _______________
  
  Signature: _______________________ Date: ____________
  
  Option 1, Single user: Disk + printed manual, pre-registered to End User above
  Option 2, Single PC:   Disk + printed manual + registration card + case
    (Call for network license pricing, volume discounts etc.)
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  QUANTITY         DESCRIPTION                         UNIT PRICE    TOTAL
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  ____   VUIMAGE PLUS(tm) single user license-Option 1   US$40.00    ________
  ____   VUIMAGE PLUS(tm) single user license-Option 2   US$60.00    ________
  ____   _____________________________________________   ________    ________
                                             Additional Taxes*       ________
             Additional Shipping Charges (Intl/COD/Overnight)*       ________
  __5.25 in  __3.5 in  __Either                         Total  US $  ________
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  * Price includes taxes and shipping within USA.  Add US $5.00 for outside USA.
  
  Check/Money Order enclosed for US $ ___________
  
  I hereby authorize the above amount to be charged to my Mastercard__ VISA__

  Account #___________________________, EXP: _____
  
  Name on card: _________________________  Signed:  __________________
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  VUIMAGE(tm) Version # (upper left corner of main menu): 3.40____ Other_____
  
  Place obtained from : ______________________________________Tel:___________
  
  Main Interest:  GIF ___  TIFF ___  PCX ___  View ___  Print ___  Others ___
  
  Type of Computer __________________ Type of Operating System ______________
  
  Type of video card/monitor ________________________________________________
  
  Additional Comments: ______________________________________________________
  
  ___________________________________________________________________________ 
