AD HOC ORDER FORM

Send this completed form, along with your payment in US Dollars drawn on a US
bank, to:

      Exlogica
      59 Golden Eagle Lane
      Littleton, CO 80127-5750
      USA


  Specify diskette size:  ___ 3.5" (1.44MB)  ___ 5.25" (1.2MB)


  _____ copies of Ad Hoc   @ $49.95 each              $ ___________

  US shipping and handling @ $5.00 each                 ___________

  Canada/Mexico shipping and handling @ $8.00 each      ___________

  International shipping and handling @ $12.00 each     ___________

  Colorado residents add 3% sales tax                   ___________


  Total Payment                                       $ ___________



  ____________________________________________________________
  Your Name
  
  ____________________________________________________________
  Date

  ____________________________________________________________
  Company

  ____________________________________________________________
  Address

  ____________________________________________________________
  City, State, Zip

  ____________________________________________________________
  Country / Postal Code

  ____________________________________________________________
  Telephone (in case of problems with your order)
  
  ______________________________________________________________________
  Fax                    Compuserve ID (or other Electronic Mail Address)

  ____________________________________________________________
  How did you hear about Ad Hoc?


Comments: