TRANSFER 95 UNLIMITED SITE LICENSE ORDER FORM (09/08/97) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FAX this form toll free to: 888.396.6926 or 612.426.6023 Or E-Mail to: itech@mn.uswest.net Or mail to: ITS Systems, 14665 Fitzgerald Avenue, Hugo, MN 55038-9301 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Todays Date: ____________ Name: ________________________________________________________________ Address1: ____________________________________________________________ Address2: ____________________________________________________________ City: _____________________________ State/Province: __________________ Zip/Postal Code: __________________ Country: _________________________ Phone: _______________________________________________________________ FAX: _________________________________________________________________ **E-Mail Address: ____________________________________________________ ** Your email address is not optional. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Price Total Transfer 95 Personal Edition..............$400.00 ______ Transfer 95 Professional Edition..........$1400.00 ______ Processing Fee............................$5.00 ______ Total Amount ($U.S Only) ______ Credit Card Type: ( )Visa ( )Mastercard ( )AMEX ( )Discover Credit Card Number: ________________________________ Exp. Date(MM/YY): ___________ Signature: ___________________________________________________________ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Terms: All orders must be prepaid in US Funds Only. Address & Zip code must match credit card billing address. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~