                          GroupEase (tm) Order Form
   
Please send me GroupEase:                        To place an order:
                                                 Call (617) 393-5460
1 Your Name [______________________________]     Fax  (617) 393-5461
  Telephone [______________________________]     or Mail this form to:

                                                 Ethosoft, Inc.
                                                 196 Boston Ave.
                                                 Medford, MA. 02155
2 LICENSE TYPE

  GroupEase is sold on a per Server        Units  Nodes   Price  Total Price 
  basis allowing 5, 10, 25, 50,          +-------+-----+--------+-----------+
  100 and 250 nodes to access the        | [   ] |   5 |  $ 159 | [       ] |
  functionality.  You can upgrade at     | [   ] |  10 |  $ 239 | [       ] |
  any time to increase the number of     | [   ] |  25 |  $ 419 | [       ] |
  simultaneous node connections.         | [   ] |  50 |  $ 649 | [       ] |
                                         | [   ] | 100 |  $ 995 | [       ] |
                                         | [   ] | 250 | $ 1995 | [       ] |
                                         +-------+-----+--------+-----------+
               Shipping Charges                       Subtotal: | [       ] |
            Ground:        $  6.00               Mass Residents |           |
            2 Day Air:     $ 11.00                  add 5% TAX: | [       ] |
            Overnight:     $ 16.00                    Shipping: | [       ] |
      COD Orders: add an additional $5.00          Order Total: | [       ] |
  Int'l Orders: Canada/Mexico add an additional                 +-----------+
  $15.00.  All others add an additional $30.00.

3 BILL TO                                           

  Name:       [____________________________________________]
  Company:    [____________________________________________]
  Street:     [____________________________________________]
              [____________________________________________]
  City:       [____________________________________________]
  State, Zip: [____________________________________________]

4 SHIP TO (if different than above)
  
  Name:       [____________________________________________]
  Company:    [____________________________________________]
  Street:     [____________________________________________]
              [____________________________________________]
  City:       [____________________________________________]
  State, Zip: [____________________________________________]

5 PAYMENT

  We accept company purchase orders (credit subject to approval), VISA,
  MasterCard, American Express, COD, checks, and money orders (check one).

  P.O. # [_____________________________________]
  [_] VISA  [_] MC  [_] AmEx  [_] Check  [_] Money Order  [_] COD

  Credit Card # [_________________________________________]
  Expiration    [_____________]

  Signature     [_________________________________________]
