**************************************************************************
*                                                                        *
*                        Professional Carrier - v1.21                    *
*                   Copyright 1995 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                             [ VISA/MasterCard ]
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 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: PC121ADN

Do you have a CompuServe Acct? [y/n]: ____  If yes, ID# _______________

I would like to receive:  [___] 3-1/2" disks (720k)
                          [___] 5-1/4" disks (360k)  



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

For fast Credit Card (MC/VISA) 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 or Visa credit card payments.  Fill out | 
   | the following ONLY if you are making payment by MC or Visa.      | 
   |                                                                  | 
   | MasterCard [_]    Visa [_]     Number [____  ____  ____  ____]   | 
   |                                                                  | 
   | Name on the Card [_____________________________________________] | 
   |                                                                  | 
   | Expires [_______]  Signature (*)________________________________ | 
   +------------------------------------------------------------------+ 
            (*) NOTE: This *REQUIRES* a hand-written signature! 


