***** Hex Workshop Order Form ***** Check: Payments must be in U.S. dollars drawn on a U.S. bank, or with an international postal money orders in U.S. dollars. To order by check send this order form and a check to: BreakPoint Software, Inc. P.O. Box 4629 Stamford, CT 06907-0629 Site licenses: a site license for Hex Workshop entities an organization to receive one copy of the distribution package and duplicate the distribution disk for the specified number of copies. Prices are listed below: Please fill in the information below: Single Copy: ____ copies at $20 each ________ Site License: 2 to 9 machines: ____ machines at $17 each ________ 10 to 24 machines: ____ machines at $14 each ________ 25 to 49 machines: ____ machines at $10 each ________ 50 to 99 machines: ____ machines at $8 each ________ over 100 machines: please Contact the Authors. Connecticut residents add 6% sales tax ________ Total payment ________ Prices guaranteed through 1997 and apply to Hex Workshop version 2.5 or lower. Name: ___________________________________________ Organization: ___________________________________________ Address: ___________________________________________ Address: ___________________________________________ City, State, Zip: ___________________________________________ Country: ___________________________________________ Phone(s): ___________________________________________ EMail Address: __________________________________________ Where did you hear about Hex Workshop? ______________________ Other Comments: