
                                   Order Form
                                   ----------

 To :                                          Date : __/__/199_
        Loewy Ron, 
        9 Haneveem st.,
        Herzeliya, 46465
        Israel

 I would like to register the following products :

        Product     User     Media       Price       Number          Total
           -        Group      -          Per          of
         Name       PCMSU    Type        Unit*       Copies
        ---------   -----    -----      ------      ------          -----

  _     APP         R-NNM    _____        $15       ______        $ _____
  _     APP         -RNNM    _____        $45       ______        $ _____
  _     mouseLib    ORNRM    _____        $10       ______        $ _____
  _     mouCeLib    ORNRM    _____        $10       ______        $ _____
  _     xmsLibr     ORNRM    _____        $10       ______        $ _____
  _     parser      ORNRM    _____        $10       ______        $ _____
  _     WWToolKit   RRNRM    _____        $40       ______        $ _____
  _     RPTP        OR--M    _____        $7        ______        $ _____
  _     RPTP        O-R-M    _____        $20       ______        $ _____
  _     RPTP        O--RM    _____        $45       ______        $ _____
  _     RPTPwin     OR--M    _____        $7        ______        $ _____
  _     RPTPwin     O-R-M    _____        $20       ______        $ _____
  _     RPTPwin     O--RM    _____        $45       ______        $ _____
  _     RLIST       ORNNM    _____        $7        ______        $ _____
  _     RSS         ORNNM    _____        $45       ______        $ _____
  _     TXS         ORNNM    _____        $45       ______        $ _____
  _     XCD         ORNNM    _____        $10       ______        $ _____
  _     WINTEXT     RNNRM    _____        $145      ______        $ _____
  _     RFFSRT      OR--M    _____        $30       ______        $ _____
  _     RFFSRT      O-R-M    _____        $95       ______        $ _____
  _     RFFSRT      O--RM    _____        $145      ______        $ _____

  ------- Total ----------  ............................  $ _____

 User Group types :

     P - Private use   ( 1 copy )
     C - Corporate use ( 5 copies )
     M - coMmercial use ( as part of your product )
     S - Source ( with non - disclosure agreement attached, for use in your
                  products with no more royalities )
     U - Upgrade from previous versions.

 User group information :

     R - Registration is required of the user.
     O - Registration is optional, to help the author maintain the software.
     N - Not available.
     - - Available with another price.
     M - Media price, upgrade price for registered users : $2
 
 Please send me the latest versions of the products I ordered.

 I enclose a cheque with the required amount.


 User Name : __________________________________________________________
             __________________________________________________________

 Address   : __________________________________________________________
             __________________________________________________________
             __________________________________________________________


 Remarks   : __________________________________________________________
             __________________________________________________________
             __________________________________________________________


 * Please add $1 for 3.5'' media.

