NetBak 2.3 Order Form We accept company or personal checks and money orders only. Please contact D & D for site licensing or multi-server versions of NetBak. You can use this form to order by MAIL. Mail to: D & D Software Inc. 809 Jackson Avenue Lindenhurst, NY 11757 USA # COPIES TOTAL License Registration $40.00 x ________ = $ ________ Disk size: 5 1/4:_____ 3 1/2:_____ New York Residents, please add appropriate Sales Tax $ ________ Total (U.S. Funds drawn on U.S. Bank) $ ======== Purchase Orders - You MUST include payment with P.O. or we can not ship. Name: ________________________________________________________________ Company: ________________________________________________________________ Address: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Voice Phone: _________________________ Fax Phone:_________________ Netware Version ______________________ Where did you obtain your copy of NetBak? ___ Bulletin Board ___ Dealer ___ Other, describe______________________ Name of source ____________________________________________________________ Prices and terms subject to change without notice.