 
                    
                              Magic Brush  

                        REGISTRATION / ORDER FROM


       Please send order form with check or money order to:

       Nassib Nassar
       4035 Livingstone Pl.
       Durham, NC  27707




       Name:   ______________________________________

       Company:______________________________________

       Address:______________________________________

               ______________________________________

       City:   ___________________  State:___________   Zip:____________ 



       1.5                                                           0116
       ==================================================================
       |Quantity   Description                         Unit    Extended |
       |---------|----------------------------------|--------|----------|
       |         | Magic Brush Program & Manual*    | $25.00 |          |
       |---------|----------------------------------|--------|----------|
       |         | Magic Brush Manual only*         | $20.00 |          |
       |---------|----------------------------------|--------|----------|
       |         | Magic Brush Trial diskette only**| $ 7.00 |          |
       |---------|----------------------------------|--------|----------|
       |                                                                |
       |                                          Subtotal  $           |
       |                 NC residents please add Sales Tax  $           |
       |                                                                |
       |                                             Total  $           |
       |----------------------------------------------------------------|
     
      * Includes registration.
     ** Does not include registration
   
        Prices subject to change without notice.

        Magic Brush  will be shipped post free within the continental 
        U.S.A. 


     Please indicate diskette size:
     
       ___  5.25" diskette        ___  3.5" diskette



