UNICOM 1.3 Order Form 

Item		      Quantity		Price (US)	 Total

Single CPU License.   ________	   x	 $35	  =	 _________

Disk  3.5 inch        ________     x     $5       =      _________

Disk  5.25 inch       ________     x     $5       =      _________

Current Documentation ________	   x	 $10	  =	 _________

Foreign Shipping (add $2.00 per disk, $8.00 per manual)  _________
 
               Washington Residents add 8.1 % sales tax  _________

 					     Total       _________

Select Method of Payment:

____ Check    ____ VISA    ____ MasterCard 


	  Name : ________________________________

     Address 1 : ________________________________

     Address 2 : ________________________________

City/State/Zip : ________________________________

   Phone       : (_______)  _____________________


For charge purchases, enter your card number, expiration date below:

__ __ __ __   __ __ __ __  __ __ __ __	__ __ __ __	 Exp Date ___/___


Signature: ________________________________________

     Please send to:    Data Graphics
			7735 46th Ave SW
			Seattle, WA  98136