**************************************************************************
*                                                                        *
*                        Professional Carrier - v1.25                    *
*                  Copyright 1995,96 by BlueCollar Software              *
*                                                                        *
*                         Published exclusively by:                      *
*                           RMH Computer Services                        *
*                                PO Box  657                             *
*                         Beech Grove IN 46107-0657                      *
*                              (317)  782-9903                           *
*                                                                        *
**************************************************************************

                                 ORDER FORM

--------------------------------------------------------------------------
 Send registration     RMH Computer Services           [  you can call   ]
form and payment to:   PO BOX 657                      [  317-782-9903   ]
                       BEECH GROVE, IN 46107-0657      [  to order via   ]
                       USA                             [  credit  card   ]
--------------------------------------------------------------------------

 I have enclosed (US Funds) for the following product:
         [ ] Professional Carrier -  $59.00  ................... $_____

 Indiana residents must add 5% State sales tax ................. $_____

 Shipping/Handling ............................................. $_____
   [ ] USA residents please add .............. $3.00 S/H
   [ ] Canada/Mexico residents please add .... $5.00 S/H
   [ ] Other residents please add ............ $8.00 S/H

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


PLEASE TYPE OR PRINT (all information will remain confidential)

Name...: __________________________________________________________

Address: __________________________________________________________

       : __________________________________________________________

       : __________________________________________________________

Phone Number (Required)..: ___________________    Sales Code: PC125ADN

Do you have an email account? [y/n]: ____  If yes, ID# _______________

I would like to receive:  [___] 3-1/2" disks (720k)
                         *[___] 5-1/4" disks (360k)
                                (* NOTE: There is an additional
                                 $5.00 charge for 5-1/4" disks)



CREDIT CARD ORDERS
------------------

For fast Credit Card (MC/VISA/DISCOVER) ordering, please call us at 
317-782-9903. Or, you can provide the information (including your 
signature!) in the space below. *ALL* spaced must be completed:

   +------------------------------------------------------------------+ 
   |    We can accept MasterCard, Visa, and Discover credit cards.    | 
   |                                                                  | 
   |           MasterCard [_]    Visa [_]     Discover [_]            | 
   |                                                                  | 
   | Credit Card Number:  ________  ________  ________  ________      | 
   |                                                                  | 
   | Name on the Card: _____________________________________________  | 
   |                                                                  | 
   | Expires: _______   Signature (*)________________________________ | 
   +------------------------------------------------------------------+ 
            (*) NOTE: This *REQUIRES* a hand-written signature! 


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