Win Interactive Multimedia (W.I.M.) V1.03d LL -- Order Form

     Name:___________________________________
     Address:__________________________________________________
     City:______________________State:__________Zip:___________
     Country:____________________  Phone:______________________

  quantity			 		         cost
  _____  W.I.M. Standard Registration		 $15.00 ________
	 MM Sampler -- Free with W.I.M. Standard
  _____  Multimedia (MM) Sampler		 $ 8.00 ________
  _____  Multimedia (MM) Sampler Deluxe		 $15.00	________
  _____  W.I.M. Stan. Reg. & MM Sampler Deluxe	 $25.00 ________
  _____  W.I.M. Shareware Extended Evaluation	 $ 5.00 ________
	 ** PRODUCTS BELOW AVAILABLE 2/15/95 **
  _____  WIM Script Edit add on for WIM Standard $15.00	________
  _____  WAVE Edit add on kit for WIM Standard	 $15.00	________
  _____  W.I.M. Pro with WIM Edit and WAVE Edit  $40.00 ________
	 MM Sampler Deluxe -- Free with WIM Pro

    POSTAGE & Handling: USA-$0, CANADA-$4, OVERSEAS-$8	________
						 total: ________

    WIM OEM, VAR, or CD Distribution License   Contact for Details

    Circle Disk Format Desired    1.2Mb (5.25")  1.4Mb (3.5")
      (if none is specified, 1.4Mb will be sent)
    Payment Check ___	 Money Order ___  (in USA funds only)
     Sorry, no CODs, VISA, MasterCard, or AE

Send Order To:  	MMS Technologies
			P.O. Box 1263
			Talent, OR  97540

 OPTIONAL INFORMATION
 o  Where did you first find out about our product?______________
      Name of individual, company, or BBS:_______________________
 o  Comments about product:______________________________________
 o  Computer brand:______________  CPU: ________  Video:_________
 o  Hard disk size:____________Mb  RAM memory:_________Mb
 o  Type of sound card:________________   Type of CD-ROM:________
 o  What do you use your computer for?___________________________
 o  What is your favorite program?_______________  Your age:_____
 o  What other products would you like to see?___________________
 o  If you uploaded the program to any BBSs, please list (include
      phone and protocol to access):_____________________________