VRAMDIR ORDER FORM ================== ================================================================= Product: VRAMDIR (for Windows 95) ----------------------------------------------------------------- Given Name: Family Name: ----------------------------------------------------------------- Company: ----------------------------------------------------------------- Street: ----------------------------------------------------------------- Apt./P.O.Box: ----------------------------------------------------------------- City: State: Zip Code: ----------------------------------------------------------------- Country: ----------------------------------------------------------------- Email: ================================================================= ================================================================= Unit Price Quantity Sub Total ================================================================= Email Copy US$10 X = ----------------------------------------------------------------- US Floppy Copy US$15 X = ----------------------------------------------------------------- Int'l Floppy Copy US$20 X = ----------------------------------------------------------------- WA residents add 8.2% Tax ================================================================= Total ================================================================= Please mail this form with your check or money order to: Virtual Software Corporation 15016 SE 63 Street Bellevue, WA 98006-4634 USA Please make your check payable to "Virtual Software Corporation". We are very sorry that we have not yet set up to accept credit card. Our bank can not accept eurocheque.