            
            
              ** ORACOMM(tm) SOFTWARE ELECTRONIC ORDER FORM **
            
                             PLEASE RETURN TO:
            
SURF COMPUTER SERVICES, INC.                  SURF COMPUTER SERVICES, INC.
Technical Support Facility                    Research Facility
PO BOX 5025                                   71-540 Gardess Road
Burnsville, Minnesota  55337                  Rancho Mirage, California 92270
            
TO ORDER:  Return this order form with your payment or call 619-346-9430.
            
PRINT ALL INFORMATION.  A software license agreement will be sent to you for
execution along with the Oracomm(tm) documentation.  Oracomm(tm) Software will
be mailed within 72 hours after receipt of the Software License Agreement.
            
Name........:___________________________________________
            
Company.....:___________________________________________
            
Address.....:___________________________________________
            
Suite/Apt...:___________________________________________
            
City........:___________________________________________
            
State.......:______________________     Zip Code.: _________________
            
   Oracomm(tm) 4.0 2-line/3-users version: $290.00 (US).:______________
            
  Oracomm-Plus(tm) 2-line/3-users version: $390.00 (US).:______________
            
 Oracomm-Plus(tm) 9-line/10-users version: $540.00 (US).:______________
            
Oracomm-Plus(tm) 16-line/17-user version:  $640.00 (US).:______________
            
                                               Subtotal.:______________
            
                      CA residents add sales tax 6.75% .:______________
            
               Shipping and handling charge.(within USA):        $ 5.00
            
                                                  TOTAL.:______________
            
[] Check enclosed.  Make payable to SURF COMPUTER SERVICES, INC.
            
Charge my  [] Visa  [] MasterCard  
            
Credit Card No..............................:________________________________
            
Expiration date.............................................: _______________
            
Name on Credit card if different from above.:________________________________
            
Your signature.............:_________________________________________________
            
                         SORRY, NO C.O.D. ORDERS.
            
            
                                                      THANK YOU FOR YOUR ORDER
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