                            
           Quicknames Pro 2.0e/ Order Form
 -------------------------------------------------

    LandWare, Inc.
    P.O. Box 277
    Budd Lake, NJ 07828
    U.S.A.

    http://www.planet.net/landware

    Phone: (201) 347-0031
    Fax: (201) 347-0340
    Internet: sales@landware.com
    CompuServe: 76174,51
    AOL,eWorld: LandWare

 PRICING
 --------------------

    A single user licence for Quicknames Pro is priced at US$39.

    Shipping & Handling: U.S./Canada: $4.50, All others: $9.
    Orders from NJ must add 6% sales tax.

 HOW TO ORDER
 --------------------

      (1) Fill out and fax this order form to (201) 347-0340
  or (2) call LandWare directly at (201) 347-0031
  or (3) Send order information online to any of our email addresses
  or (4) Fill out and mail this order form to LandWare

----------------------- Cut Here  -----------------------

    Name: 
 _______________________________________________________

    Organization: 
 _______________________________________________________

    Mailing Address: 
 _______________________________________________________
 
 _______________________________________________________
 
 _______________________________________________________
    Country: 
 _______________________________________________________

    Phone: 
 _______________________________________________________

    E-mail: 
 _______________________________________________________

    Disk:   ___DOS     ___MAC

 METHOD OF PAYMENT
 --------------------
    ___ Check/Money order
    (US checks/funds only - payable to LandWare, Inc.)

    ___ VISA  ___MasterCard  ___AMEX  ___Discover ___First Virtual

   Card Number:
   _______________________________________________________

   Card Holder's Name:
   _______________________________________________________

   Expire Date:
   _______________________________________________________

 Comments: 



                            Thank you !