PrimeOut Order Form                           PrimeOut v1.3
===========================================================

Print this form and mail it (with your check or money order
in US funds) to:

	Prime Software
	P.O. Box 851
	Manville, NJ 08835 USA

					Date_______________

Your Name:_________________________________________________

Address:  _________________________________________________

City:     _________________________________________________

State:    ________  Zip Code: ___________  Country: _______

E-Mail Address or telephone: ______________________________

Enclose $20.00 (check or money order in US funds) for each
copy of PrimeOut being ordered.  Your copy of PrimeOut will
be E-Mailed to you.  If you would like PrimeOut sent to you
on a 3.5" diskette please add $5.00 for shipping and
handling.

Number of copies: _______ x $20.00   =   $_____________

Add $5.00 if you require a diskette.     $_____________

New Jersey residents add 6% sales tax.   $_____________

TOTAL:                                   $_____________


Where did you get your copy of PrimeOut? Please include
section or forum name. (ie. CompuServe, AOL, Internet at
www.windows95.com):
___________________________________________________________

Comments or questions: ____________________________________

___________________________________________________________


THANKS FOR YOUR SUPPORT!