                          PowerDREAM Order Form
                          ---------------------

If you find PowerDREAM useful, and continue to use it you are required to 
register it. 

Registration may be by one of the following methods:
1)      Credit Card - MasterCard or Visa
2)      SWIFT (bank-to-bank transaction)
3)      Purchase Order                                     

4)      Online registration will soon be made available

For Visa/MasterCard orders, you may send E-Mail to: eirhanse@online.no
or you can Fax/Phone: (+47) 769 42700

Please e-mail or Fax/Phone for site licenses and discounts.

----------------------------------------------------------------------------
Please provide the following information:       Date:

Name_____________________________________Company____________________________
                                                        (if applicable)
Address_____________________________________________________________________

Address_____________________________________________________________________

City_____________________ State/Prov.______________Zip/Post Code____________

Country_____________________________________________________________________

Phone Number__________________________ E-Mail_______________________________


Where Did you get PowerDREAM ?  ____________________________________________

Quantity: ____  Cost Each: ____                               Total:________
                (130 NKr approx: 20 USD or 
                13 GBP for single license)

Payment Method:

____ VISA ____ MasterCard ____ SWIFT  ____ Other


Credit Card #_______________________________________ Expiration Date__________

Signature ____________________________________________________________________
(Only required for credit card or purchase orders that are mailed or FAXED)

Thank you for registering PowerDREAM.
