ORDER FORM Author: Bronze Inc., www.Bronz.com Date: 12/21/1998 Mail to: Bronze Inc., PO Box 14303, Gainesville, FL 32604, USA Website: www.bronz.com Call: 352-371-2378 or 561-368-2203 To save this on your PC, select FILE from the menu bar and choose the option SAVE AS. -- Fill out the information below and mail or Email to above address -- ---------------------------------------------------------------------- Name: Date: Telephone: Email: ---------------------------------------------------------------------- Company: Deparment: Address: Address2: City: State: PostalCode: Country: ----------------------------------------------------------------------- PUT AN X AFTER PAYMENT METHOD Check: CreditCard: MoneyOrder: UScash: ----------------------------------------------------------------------- FOR CREDIT CARDS ENTER THE INFORMATION EXACTLY AS ON CARD TypeOfCard: (Visa or Mastercard) CardNumber: NameOnCard: ExpirationDate: Signature: ---------------------------------------------------------------------- Amount enclosed: ---------------------------------------------------------------------- ORDER INFORMATION ---------------------------------------------------------------------- Title of Item |Cost/user|Quantity| Amount | ---------------------------------------------------------------------- 1. | /user| | | ---------------------------------------------------------------------- 2. | /user| | | ---------------------------------------------------------------------- 3. | /user| | | ---------------------------------------------------------------------- 4. | /user| | | ---------------------------------------------------------------------- 5. | /user| | | ---------------------------------------------------------------------- 6. | /user| | | ---------------------------------------------------------------------- 7. | /user| | | ---------------------------------------------------------------------- 8. | /user| | | ---------------------------------------------------------------------- | | Total for software and documentation | | | | ---------------------------------------------------------------------- ---------------------------------------------------------------------- Choose one method of soft copy delivery | | | | Already acquired or will acquire myself | $0 | | | Email package to me | $5 | | | Ship inside USA | $10 | | | Ship outside USA | $15 | | | ---------------------------------------------------------------------- Florida residents add 6% | | You are responsible for all other state and national taxes. | | ---------------------------------------------------------------------- | | Total payment due | | | | ---------------------------------------------------------------------- Notes: 1. All prices in U.S. dollars 2. Send check, cash, money order or credit card information 3. You may send credit card information by email 4. Each license entitles one person to use the software. For documents, each license allows printing of one copy, or putting one copy on one PC (not network accessible to others) 5. Call or email for quantity discounts 6. Call or email for special needs, such as printed versions, or purchase orders 7. You only need to pay delivery fees if you want us to send you the item. If you have already acquired the item or you want to download the item from our web site, you do not need to pay delivery fees. Copyright (c) 1990-1998 by Bronze Inc. All rights reserved. --- end of document ---