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Word Document  |  1996-12-16  |  16KB  |  56 lines
  1.  
  2.                               ZanNet Order Form
  3.  
  4. All orders are subject to the ZanNet license agreement located in the
  5. included file manual.doc. You can order ZanNet by check, credit card
  6. (Visa/Mastercard) and purchase order (net 30). Minimum purchase order
  7. amount is $500.00. In response to your order, you will get a registration
  8. key. Orders may be submitted to Zan Software through e-mail, fax or regular
  9. mail and MUST include this form.
  10.  
  11. Regular Mail, E-mail, and Fax information:
  12.  
  13. Zan Software, 332 SE 7th Ave., Delray Beach, FL 33483
  14. E-mail: zan@gate.net,  web: www.gate.net/~zan,  fax: (561) 278-1373
  15.  
  16. Pricing Schedule:
  17.  
  18. ZanNet single user copy:     ______          copies at $95 each
  19. ______
  20.  
  21. Site License:
  22.  
  23. 2 to 9 computers:            ______          computers at $75 each  ______
  24. 10 to 24 computers:          ______          computers at $55 each  ______
  25.  
  26. 25 to 49 computers:          ______          computers at $45 each  ______
  27. 50 to 99 computers:          ______          computers at $35 each  ______
  28. 100+ computers:        ______           computers at $25 each ______
  29.                                   (Florida residents add 6% sales tax)
  30.                             ______
  31.                                         Total Payment:   ____________
  32.  
  33.  
  34. Name (First, Last):
  35. _________________________________________Date:________
  36. Company:
  37. _____________________________________________________
  38. Address:
  39. _____________________________________________________
  40. City, State, Zip:
  41. _____________________________________________________
  42. Day Phone:       ________________________Eve:_________________________
  43. E-mail:
  44. ________________________________Fax:__________________
  45. Send key via:          e-mail[  ]       fax[  ]          regular mail[  ]
  46.  
  47. How did you here about ZanNet? _________________________________________
  48. Comments: __________________________________________________________
  49.  
  50. Credit Card:           [  ] Mastercard  [  ] VISA
  51.  
  52. Credit Card Number:    _________________________________________________
  53. Expiration Date:       ______________________________
  54. Name on Card:    _________________________________________________
  55. Billing Address: _________________________________________________
  56.