IQoute Order Form
(Alternatively you can register and pay using CompuServe: GO CIS:SWREG)

Please send me the following:
 _____________________________________________________________________________________________
|Item								|Quant.	|	Price	|Total|
 _______________________________________________________________|_______|_____________________|
|Copy of IQoute with a single machine license			|	|	$29     |     |
|Copy of IQoute with a 10 machine license			|	|	$250    |     |
|Copy of IQoute with a 20 machine license			|	|	$400    |     |
|Copy of IQoute source code with a single machine license	|	|	$69     |     |
|Shipping and handling charges in the USA			|	|	$3      |     |
|Shipping and handling charges in North America			|	|	$5      |     |
|Shipping and handling charges outside of North America		|	|	$7      |     |
 _______________________________________________________________|_______|_______________|_____|
|							Subtotal........................      |
|							Applicable tax (if any).........      |
 _____________________________________________________________________________________________|
|							Total...........................      |
 _____________________________________________________________________________________________|

Please circle one of the following methods of delivery:
- E-mail (MIME extension).  E-mail address:
- FTP.  Please make sure that we have upload permission. FTP site:
- US Postal service.  Please include shipping and handling charges in the payment.  Ship to address:

Please tell us more about yourself:<BR>
Name:
Company:
Address:
City:
State, ZIP:
Country:
Phone:
FAX:
E-mail:
WWW Home page:

Please mail this form with payment to:
Logyx Computer Corp.
PO Box 130440
Ann Arbor, MI 48113-0440
USA