                                ORDER FORM

   See dealers.txt for your local dealer.

   Send to:  Carbon Based Software                 Fax: [61] 7 5529 1544
             PO Box 912                            CompuServe 100351,2052
             Runaway Bay Qld 4216                  sales@carbonbased.com.au
             Australia

   =======================================================================
                Item                          Unit Price    Qty      Total
   =============================              ==========   ===     =======

   ZipStream for OS/2 2.X or later            : $119.95    ___ [ ] $______
   Fully Packaged Product
   
   ZipStream for OS/2 2.X or later            : $99.95     ___ [ ] $______
   Electronic Registration Only
   
   Media 3 1/2" only
                                                          Subtotal $______

   Shipping and handling per unit 
   (Only required for packaged product)
                                     Australia: $5.00          [ ] $______
                           All other countries: $10.00         [ ] $______

   If paying by non Australian Cheque, a 
   Currency Conversion Charge applies         : $8.00          [ ] $______ 
   (This does not apply to Credit Card purchases)

                                                          TOTAL $AUS______

   Cheque, Bank Drafts, VISA, Master Card, and Australian Bankcard
   accepted.  Make payable to Carbon Based Software.  All prices in
   Australian Dollars ($AUS119.95 = $US89.96 or $AUS1.00 = $US0.75 at 
   01Oct95).  Delivery is FOB Biggera Waters Gold Coast Australia.
   
   Prices subject to change without notice.  
   
   If paying by charge card please provide the following information.

   Bankcard     [ ]
   Visa         [ ] 
   Master Card  [ ]  Card#: _____________________________  Exp date: __/__
   
   Cardholder Name: _________________________________  Phone#: ___________

   Signature required!  _____________________________ (Not required for email)

   =======================================================================

   Ship to: (Please always fully complete this section)

   Name (please print)____________________________________________________

   Address _______________________________________________________________

   Address _______________________________________________________________

   City _________________________ State _______________ ZIP Code _________

   Country ______________________ Phone/Fax ______________________________

   CompuServe ID: ________________InterNet ID: ___________________________


