To print this order form, select Print from the File menu.
To order by check, send this order form and a check to ASCENT SOLUTIONS Inc., 9009 Springboro Pike Miamisburg, Ohio 45342. Payments must be in US dollars drawn on a US bank, or you can send international postal money orders in US dollars.

All orders are subject to the BLAZE License Agreement.  Prices guaranteed through September, 1998.

Customer information is considered confidential and will not be shared or distributed to any third party.

 
BLAZE! Single Copy:
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at $34.95 each =
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BLAZE! Site Licenses:
2 to 9 computers:
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at $26.50 each =
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10 to 24 computers:
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at $20.50 each =
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25 to 49 computers:
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at $17.00 each =
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50 to 99 computers:
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at $12.00 each =
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100 to 199 computers:
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at $8.50 each =
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200 to 499 computers:
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at $7.25 each =
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500 to 599 computers:
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at $4.75 each =
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OHIO Residents add 6.5% sales tax:
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Total Payment:
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Date: _______________________________________________________
Name: _______________________________________________________
Company: _______________________________________________________
Address: _______________________________________________________
_______________________________________________________
City, State, Zip: _______________________________________________________
Day Phone: _______________________________________________________
E-Mail address: _______________________________________________________
 

How did you hear about BLAZE!?
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