22DISK  Version 1.44


    Mail to:

              SYDEX
              P.O. Box 5700
              Eugene, OR  97405

                           O R D E R   F O R M


                              Name __________________________________

                           Company __________________________________

                           Street  __________________________________

          City, State, Zip/Country __________________________________

                                   __________________________________


         Registration Fee for Single-
         System 22DISK License         $25.00 ...........___________

         Registration Fee for Multi-
         System Site License          $100.00 ...........___________

         Shipping and handling:
         United States and Canada--$2.50,
         Other countries--$5.00..........................___________
         (We airmail all foreign shipments)



         TOTAL...........................................___________

         Please indicate payment method:

         Purchase Order ___  Check/MO ___  VISA ___  MasterCard ___

         Credit Card No._______________________________ Exp. ________

         Signature_________________________________  Date ___________

         We normally ship 5.25" 360K diskettes.  Check here if you
         need 22DISK on 3.5" 720K diskette...................________

         Where did you learn of 22DISK? _____________________________