                          WINVIEW COPILOT ORDER FORM

TO ========================         FROM =====================================
Bremer Corporation                  Name: ____________________________________
3401 Cactus Wren Way
Austin TX 78746                  Company: ____________________________________

24-Hr Telephone: 512-328-2465    Address: ____________________________________
Compuserve Email: 71614,2556
Internet: zboray@BremerCorp.com     City: ____________________________________

                                   State: __________  Zip Code: ______________

                                 Country: ______________  Date: ______________

                         Daytime Phone #: ____________________________________

                                   FAX #: ____________________________________

         Where you found WinView CoPilot: Compuserve _______  Internet _______
                                          BBS _______  Other _________________

PRICING ======================================================================
Individual use:
    Per user licensing .............. Number of users  ______  X  $19   ______

Commercial/institution use:
    Per machine licensing ........ Number of machines  ______  X  $19  _______

Shipping and handling ........................................... $10  _______

Texas residents add applicable State & County Sales Tax .............  _______

Total ............................................................US$  _______

PAYMENT ======================================================================
Enclose a check drawn on a US bank, a postal money order, or a cashiers check,

-- OR --

A signed company/institution purchase order,

-- OR --

[  ] Mastercard     [  ] Visa     [  ] American Express (includes Corporate)

Card number _______________________________________  Expiration date ____/____

Signature ____________________________________

==============================================================================

WinView CoPilot  Copyright (c) 1995,96  Bremer Corporation (order area: kdb40)

