                                  PERI-LINK
                               5101 Halifax St.
                            Little Rock, AR 72209

                       Master Symbols Disk- Order Form

                            Please: Print or Type
                                                                      
                                     
                            Date:  ____/____/____
                                   (MM   DD   YY)


          Name __________________________________________________

          Company Name __________________________________________
          [if applicable]

          Address _______________________________________________

          City _______________________ State _____ Zip __________


             Please specify:        [ ] 5.25          [ ] 3.5

             Specify format:        [ ] DXF           [ ] SKD


          Number of copies ______  @ $39.95 ea.   $ _____________
          
          For overseas shipping and handling    + $ _________5.00

          Total amount of this sale               $ _____________
          
          

               Send check or money order for the total amount
               in U.S. funds only please. 

               For Canadian and overseas orders: Please remit 
               a check or money order drawn on or payable 
               through a U.S. bank.



                            Thank you very much!


                 Please allow four to six weeks for delivery

