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Text File  |  1995-03-11  |  3KB  |  60 lines
  1.                           GroupEase (tm) Order Form
  2.    
  3. Please send me GroupEase:                        To place an order:
  4.                                                  Call (617) 393-5460
  5. 1 Your Name [______________________________]     Fax  (617) 393-5461
  6.   Telephone [______________________________]     or Mail this form to:
  7.  
  8.                                                  Ethosoft, Inc.
  9.                                                  196 Boston Ave.
  10.                                                  Medford, MA. 02155
  11. 2 LICENSE TYPE
  12.  
  13.   GroupEase is sold on a per Server        Units  Nodes   Price  Total Price 
  14.   basis allowing 5, 10, 25, 50,          +-------+-----+--------+-----------+
  15.   100 and 250 nodes to access the        | [   ] |   5 |  $ 159 | [       ] |
  16.   functionality.  You can upgrade at     | [   ] |  10 |  $ 239 | [       ] |
  17.   any time to increase the number of     | [   ] |  25 |  $ 419 | [       ] |
  18.   simultaneous node connections.         | [   ] |  50 |  $ 649 | [       ] |
  19.                                          | [   ] | 100 |  $ 995 | [       ] |
  20.                                          | [   ] | 250 | $ 1995 | [       ] |
  21.                                          +-------+-----+--------+-----------+
  22.                Shipping Charges                       Subtotal: | [       ] |
  23.             Ground:        $  6.00               Mass Residents |           |
  24.             2 Day Air:     $ 11.00                  add 5% TAX: | [       ] |
  25.             Overnight:     $ 16.00                    Shipping: | [       ] |
  26.       COD Orders: add an additional $5.00          Order Total: | [       ] |
  27.   Int'l Orders: Canada/Mexico add an additional                 +-----------+
  28.   $15.00.  All others add an additional $30.00.
  29.  
  30. 3 BILL TO                                           
  31.  
  32.   Name:       [____________________________________________]
  33.   Company:    [____________________________________________]
  34.   Street:     [____________________________________________]
  35.               [____________________________________________]
  36.   City:       [____________________________________________]
  37.   State, Zip: [____________________________________________]
  38.  
  39. 4 SHIP TO (if different than above)
  40.   
  41.   Name:       [____________________________________________]
  42.   Company:    [____________________________________________]
  43.   Street:     [____________________________________________]
  44.               [____________________________________________]
  45.   City:       [____________________________________________]
  46.   State, Zip: [____________________________________________]
  47.  
  48. 5 PAYMENT
  49.  
  50.   We accept company purchase orders (credit subject to approval), VISA,
  51.   MasterCard, American Express, COD, checks, and money orders (check one).
  52.  
  53.   P.O. # [_____________________________________]
  54.   [_] VISA  [_] MC  [_] AmEx  [_] Check  [_] Money Order  [_] COD
  55.  
  56.   Credit Card # [_________________________________________]
  57.   Expiration    [_____________]
  58.  
  59.   Signature     [_________________________________________]
  60.