                              ORDER FORM

 Name: ______________________________________________________________
 Company: ___________________________________________________________
 Address: ___________________________________________________________
 City: _____________________  State: ________  ZIP: _________________
 Country (if outside US): ___________________________________________
 Phone Number (optional): _____________  Circle:  home  or  work
 E-mail Address (optional except E-mail Shipping): __________________
 Where you found Shareware Version (optional): ______________________

  Product                       Quantity     Price Each         Total
  ===================================================================
  PixWizard for Windows 95/98/NT  ____       $30.00 U.S.        _____
  PixWizard Upgrade Fee (from any registered version of WinJPEG)
                                  ____       $10.00             _____
  PMJPEG for OS/2 2.x and Warp    ____       $20.00 U.S.        _____
  WinJPEG for Windows 3.x         ____       $25.00 U.S.        _____
  WinJPEG Update Fee (from any registered version of WinJPEG)
                                  ____        $5.00 U.S.        _____
  Murals for Windows 95/98/NT     ____       $15.00 U.S.        _____
  Murals for Windows 3.x          ____       $15.00 U.S.        _____
  ===================================================================
                                            Merchandise Total: ______

                 5% Sales Tax  (Massachusetts residents only): ______
                           Shipping and Handling (choose one): ______
                            __  E-mail (no additional charge)
                            __  U.S. residents (add $5 U.S.)
                            __  Non-U.S. residents (add $8 U.S.)

                                                        TOTAL: ______

      Non-credit card order payments must be in U.S. cash,
      U.S. funds drawn on a U.S. bank, or a postal money order.
      Please make checks payable to:  PixVision Software

  Please fill in the following for Credit Card Orders:
    Signature: _______________________
    Name on Card: ____________________      Visa [ ]   MasterCard [ ]
    Credit Card Number: ________________________   Exp. Date: _______

 Mail to:                    Internet Address:
   PixVision Software          orders@pixvision.com
   58 Chandler St.
   Boston, MA 02116
   U.S.A.

 Visit our Web page!  http://www.pixvision.com
