                   VISITT 4.0 ORDER FORM AND REGISTRATION

To expedite distribution and decrease distribution costs, EPA has made the
system software available for free downloading on several on-line services.
If you are unable to download the VISITT software from an on-line service, you
may order the VISITT 4.0 diskettes and user manual, and become a registered
user by completing this order and registration form and mailing or faxing it
to the location indicated below.  VISITT 4.0 is available at NO CHARGE.

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   U.S. EPA Vendor Information System for Innovative Treatment Technologies
              (VISITT) Version 4.0 Order and Registration Form


Mail to:  U.S. EPA/NCEPI	       Fax to:  U.S. EPA/NCEPI
          P.O. Box 42419                        (513) 489-8695
          Cincinnati, OH  45242-0419            (513) 489-8190 (Verification)



Please type or print legibly.  Allow 3-4 weeks for delivery.


Name _________________________________________________________________________


Company/Agency _______________________________________________________________


Street _______________________________________________________________________


City __________________________ State _________________ Zip Code _____________


Country _______________________ Telephone Number _____________________________


Date Ordered ____________________________ E-mail Address _____________________


    I obtained the VISITT software from (check one of the following on-line
    services):

    _____ America Online   _____ Simtel FTP Site   _____ Garbo FTP Site

    _____ DENIX   _____ EPA FTP Site   Other _____


    _____   Register me as a VISITT user (To provide you with more detailed
                information about system updates, EPA asks that you register
                using this form if you have downloaded the software from an
                on-line service other than CLU-IN.)

    _____   Send me the VISITT 4.0 (3.5") diskettes and a user manual.

    _____   Send me a VISITT 4.0 User Manual ONLY.


    _____   * I am an innovative treatment technology vendor and would
              like to receive an application to be included in VISITT 5.0.
              Place me on the VISITT 5.0 Vendor Information Form (VIF)
              Mailing List.

            * Before ordering the VIF, please be sure that your treatment
              technology meets the following criteria for inclusion in
              VISITT:

                - It must be innovative. (Incineration, above-ground
                  groundwater treatment, and solidification/stabilization are
                  not eligible.)

                - It must be a site remediation technology for cleanup of
                  hazardous waste sites. (VISITT does not include product
                  suppliers of technologies that treat routinely
                  generated waste.)

                - If you have questions about eligibility requirements, call
                  the VISITT Hotline at (800) 245-4505.

