                             Order Form

     To order Periscope, please fill in the fields below.
Shipping address:                    Mailing address (if different):

Attn.:   ___________________________ _______________________________

Company: ___________________________ _______________________________

Address: ___________________________ _______________________________

         ___________________________ _______________________________

         ___________________________ Phone: ________________________

Country: ___________________________ Email: ________________________

Quantity                 Product                    Each      Total
====================================================================
      Periscope
_____ single-user license                          US$30.00 ________

      Periscope
_____ 20-user license                             US$160.00 ________

      Periscope
      site license (unlimited use within one
_____ company at one street address)              US$500.00 ________


                                                Subtotal: __________

  Shipping & Handling: US$5.00 in US,
  US$10.00 outside US, Email only [ ] (no charge)    S&H: __________

       Add sales tax if applicable.                 Sales
       (Ohio orders only)                            Tax: __________

       Please note: Local taxes and/or customs
       may apply.                                  Total: __________


Terms of payment:
  ManuSoft accepts prepaid orders by check, money order, VISA or 
  Mastercard. Purchase orders are accepted from established 
  companies. Call to request other payment or delivery options.

  All prices are in US dollars. International orders may be paid 
  with checks in US dollars drawn on a US bank, or charged to Visa 
  or Mastercard. If you prefer to pay in local currency, please add 
  5% bank charges to the total after calculating the equivalent local 
  currency.


Please charge my:      ___ VISA     ___ Mastercard

Account Number:__________________________________ Expires: ____/____

Name on Card:_______________________________________________________


 Mail order form with payment to ManuSoft. Credit card orders may
 be faxed or emailed. To arrange alternate payment or delivery
 options contact ManuSoft.

  ManuSoft                       +1 330-695-5903 (Voice)
  P.O. Box 84                    +1 330-695-5906 (Fax)
  Fredericksburg, OH  44627      sales@manusoft.com

  Federal Tax ID: 34-1795990
  Sole proprietor, exempt from withholding.