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  1.   x-WARE4 for Windows Order Form             Extensions Software Corporation
  2.   ------------------------------             1970 Osceola Parkway #350
  3.                                              Kissimmee, FL  34743  USA
  4.                                              407-344-3322 Sales/Support
  5.                                              407-344-3323 FAX
  6.  
  7.      Name: ___________________________________________________________________
  8.  
  9.   Company: ___________________________________________________________________
  10.  
  11.   Address: ___________________________________________________________________
  12.  
  13.   Address: ___________________________________________________________________
  14.  
  15.   Address: ___________________________________________________________________
  16.  
  17.     Phone: ______________________________  FAX: ______________________________
  18.  
  19.   Network: [ ] Novell   [ ] Banyan   [ ] Other: ______________________________
  20.  
  21.   Product Selection:  [  ] x-FONE4  Network Phone Directory System
  22.   (choose one)        [  ] x-OUT4   Network In-Out Tracking System
  23.                       [  ] x-FORUM4 Network Message Forum System
  24.  
  25.   License Selection:  [  ]   25 User License at $  249.00 each
  26.   (show quantity)     [  ]   50 User License at $  349.00 each
  27.                       [  ]  100 User License at $  449.00 each
  28.                       [  ]  200 User License at $  549.00 each
  29.                       [  ]  300 User License at $  649.00 each
  30.                       [  ]  400 User License at $  749.00 each
  31.                       [  ]  500 User License at $  849.00 each
  32.                       [  ]  600 User License at $  949.00 each
  33.                       [  ]  700 User License at $ 1049.00 each
  34.                       [  ]  800 User License at $ 1149.00 each
  35.                       [  ]  900 User License at $ 1249.00 each
  36.                       [  ] 1000 User License at $ 1349.00 each
  37.                       [  ] Unlimited License at $ 2799.00 each
  38.  
  39.   Total Order Amount: $_____________
  40.  
  41.   Payment Method:     [  ] Payment Enclosed (US Funds)
  42.                       [  ] Purchase Order (Please Attach Confirming Copy)
  43.  
  44.                       [  ] MasterCard     Card #: ____________________________
  45.                       [  ] VISA           Expires: ___________
  46.                       [  ] AMEX/Optima    Signature: _________________________
  47.  
  48.   Notes: * Amounts shown are in US dollars.
  49.          * Government Agencies, Educational Institutions, and Religious
  50.            Organizations receive a 20% discount.
  51.          * Orders ship within 3 business days from receipt of order.
  52.          * US orders ship via UPS Select or better delivery.
  53.          * Non-US orders ship via US Postal Service Air Mail.
  54.          * Order consists of a 3.5" diskette with the latest software version
  55.            plus serialized license file, and printed quick start guide.
  56.          * Technical support via mail, phone, FAX, and CompuServe is provided
  57.            at no additional cost to licensed users.
  58.          * Software upgrades via CompuServe are provided at no additional cost
  59.            to licensed users.
  60.          * Extensions Software Corporation's Employer ID is #56-1827803.
  61.  
  62.