BoxTop Software, Inc. P.O. Box 2347 Starkville, MS 39760 USA 1-601-324-1800 - Voice 1-601-324-7352 - Fax sales@boxtopsoft.com http://www.boxtopsoft.com Sales Contact: Cindy Johnson - cindy@boxtopsoft.com *You should view and print this order form using a mono-spaced font. Please complete the information below and mail with payment (or Fax for Credit Card and Purchase Orders) to the address given above. Thank you for your purchase. =============================================================================== Customer Name: _____________________________________________ Shipping Address: __________________________________________ __________________________________________ __________________________________________ Email Address: _____________________________________________ Phone Number: ______________________________________________ Product: Quantity: PhotoGIF Filter 1.0 Windows ( ) $69.95 each ImageVice 1.0 Windows ( ) $49.95 each ColorSafe 1.5 Windows ( ) $49.95 GIFmation 2.2 Windows ( ) $49.00 each Note, a 20% Build Your Own Bundle discount off individual purchase price applies for purchases of any two or more individual products, exclusive of other bundle offers. BoxTop Web Tools Bundle* Windows ( ) $129.95 *Includes PhotoGIF Filter, ImageVice and ColorSafe. Payment Method: ( ) Check/Cash ( ) Credit Card ( ) Purchase Order Credit Card Type: ( ) VISA ( ) MASTERCARD Credit Card Number #__________________________________ Exp:______ Name On Card (EXACTLY): _________________________________________ Billing Address for Card: _______________________________________ _______________________________________ _______________________________________ Shipping Method: ( ) Email NO CHARGE ( ) Priority Mail (World-wide) $6.00 ( ) FedEx 2nd Day (US only) $10.00 ( ) FedEx Overnight (US only) $15.00 Total Enclosed: $ _______________ Signature: ________________________________ Date: ______________ =============================================================================== Document Published: 12/31/97