Electronic Express Order Form

Virtual Reality Labs, Inc.
2341 Ganador Court
San Luis Obispo, CA 93401 USA
                          
Telephone: 	(800) 829-VRLI
		(805) 545-8515   
FAX: 		(805) 781-2259

Shipping Information

Name:	
Street:
City:	State/Province:	 Zip/PC:	Country:
Phone:

Payment Information
o  Check (must be drawn on a U.S. bank)   o Money Order
o  MasterCard                             o Visa

MasterCard or Visa number if charging:__ __ __ __  __ __ __ __  __ __ __ __  __ __ __ __
Expiration date:       ____ /____ 

Print your name as it appears on the card:	 

Order Information
Programs:                                               List            Sale

Distant Suns Windows 2.0	Floppy disk version	$69.95		$39.95			 
Floppy disk upgrade from disk version 1.0		$28.00			
CD ROM upgrade from disk version 1.0			$59.95			 
CD ROM upgrade from disk version 2.0			$39.95		
CD ROM upgrade from CD version 1.0			$28.00			 
CD ROM version                                          $149.95         $79.95
Vistapro PC 3.0                                         $129.95         $79.95                  Upgrade from Vistapro 1.0                               $45.00
Makepath Flt. Dir.					$69.95		$44.95		
Mars Explorer CD ROM					$69.95		$44.95		
Vistamorph						$69.95		$44.95		

California residents add 7.25% sales tax:				
Shipping (USA=$4.50, Canada=$5, others=$10):		
Subtotal:			 
Tax, Shipping and Total:	 
Total:		

Thanks for your order!  Print and FAX this Express Order Form, or attach to a
private message to "Denise" at VRLI's BBS (805) 781-2257.  FAX Virtual Reality
Labs at  (805) 781-2259 or, if paying by check or money order, simply mail this
form and your payment to the address listed above.