Please send this order back to:    Watergate Software Inc.
                                   2000 Powell Street, Suite 1200
                                   Emeryville, CA 94608 USA
                                   Tel (510) 654-5182
                                   Fax (510) 653-4784
                                   Internet: steve_s@ws.com

Date:             ____/____/____

Name:             ______________________________________

Company:          ______________________________________

Address:          ______________________________________

City/State/ZIP:   ______________________________________

Phone (required): ______________________________________
 (Credit Card orders will be verified by phone)

Fax:              ______________________________________

E-mail:           ______________________________________



Product==============   Price==   Quantity   Total=====

PC-Doctor / Pro          $99.95  x  _____  = __________

PC-Doctor Deluxe        $129.95  x  _____  = __________
(CD Certify bundle)

                       SUBTOTAL     _____    __________

  California residents add...    Sales Tax = __________

Shipping & Handling (Continental US)              $8.00
                     FedEx 2nd Day
                                T O T A L  = __________

Payment Method====================================================

o Prepaid check/Money Order   o VISA   o MasterCard   o EuroCard

Card Number                                        Expiration Date 

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __    __ __ / __ __


Cardholder Name (print) ________________________________

Signature ______________________________________________
