            5-Or-More! v2.0a for Windows 3.1/95/NT
             Copyright (c) 1997 by MidStream, Inc.
                     All rights reserved.

                     O R D E R   F O R M

NOTE:  If you wish to order with  VISA, MasterCard, American          
       Express or Discover credit card please contact Public          
       Software Library (PSL), which handles all credit card          
       orders. See README.TXT file or 5-Or-More! Help for 
       details on how to contact PSL.

For personal checks, cash or postal money orders (sorry, no 
Eurocheques and purchase orders!) please provide the following 
information below:

_____________________________________________   ________________
Your name                                                   Date

___________________________________   __________________________
Street                                City      State/Pr     Zip

______________   ___________________   _________________________
Country          Phone                 E-mail address

________________________________________________________________
Where did you hear about 5-Or-More?

================================================================
#  Description                           Qty     Price     Total
================================================================

1. 5-Or-More! Full Licensed Copy:        ___  x  $19.95   $_____

2. LIFETIME FREE upgrades:                1       FREE     FREE

3. BONUS BrainCubes Game:                 1       FREE     FREE

4. PrivateEXE (with 5-Or-More!           ___     $24.95   $_____
   only, when ordering directly from 
   MidStream, Inc. - regularly $29.95)
   
5. BusinessCards (with 5-Or-More!        ___     $24.95   $_____
   only, when ordering directly from 
   MidStream, Inc. - regularly $29.95)
   
6. Shipping and Handling (optional,
   your e-mail address is REQUIRED
   if you prefer Internet delivery)
      USA:                               ___      $3.00   $_____
      Canada/Mexico:                     ___      $4.00   $_____
      International (all other):         ___      $5.00   $_____

                         GRAND TOTAL:                     $_____

================================================================
See the online help or visit us at http://www.midstream.com for 
more information about highly acclaimed BusinessCards and
PrivateEXE software. 

Please mail completed order form along with your payment to:

         MidStream, Inc.
         P.O.Box 862
         San Bruno, CA
         94066-0862 USA

Thank you for your business!
