DAUPHIN
                                  ORDER FORM
  Ship To:                     Make Cashiers Checks or Money Orders payable to:

  Name: _______________________           Dauphin Technology, Inc.
  Address: ____________________           800 East Northwest Highway, Suite 950
  City: _______________________           Palatine, IL  60067
  State: ______________________   Zipcode: _______________________
  Phone: ______________________       Fax: _______________________

   QTY             ITEM                    PART NUMBER       UNIT PRICE   TOTAL
       Pen                                EC-92019-01             $89.95
       Battery                            EC-92018-014            $89.95
       Keyboard                           KB-92005-01             $89.95
       AC/DC Adapter                      EC-92014-01             $89.95
       Cigarette Lighter Adapter          AP-90008-01             $39.95
       Floppy Disk Drive                  FD-94001-01            $199.95
       Ethernet Card                      PC-92026-02            $124.95
       4-Cell Battery Charger             AP-95001-001           $169.95
       DTR-1 Utilities Diskette           AP-93008-003             $7.95
       Manual                             LI-92022-01             $12.95
       MS DOS 6.0                         LI-92025-01             $25.00
       MS Windows 3.1                     LI-92020-01             $25.00
       MS Pen Extension for Windows       LI-93007-0A             $25.00
       Hi-RizerTM  Stand
       Other:

       Shipping and Handling:

       UPS-Ground
       UPS-Second Day
       UPS-Next Day
       Illinois residents add applicable sales tax:
                                                                 TOTAL:
  If there are any questions, please call 213, Mark Janda

                     Thank you for your business!