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- GroupEase (tm) Order Form
-
- Please send me GroupEase: To place an order:
- Call (617) 393-5460
- 1 Your Name [______________________________] Fax (617) 393-5461
- Telephone [______________________________] or Mail this form to:
-
- Ethosoft, Inc.
- 196 Boston Ave.
- Medford, MA. 02155
- 2 LICENSE TYPE
-
- GroupEase is sold on a per Server Units Nodes Price Total Price
- basis allowing 5, 10, 25, 50, +-------+-----+--------+-----------+
- 100 and 250 nodes to access the | [ ] | 5 | $ 159 | [ ] |
- functionality. You can upgrade at | [ ] | 10 | $ 239 | [ ] |
- any time to increase the number of | [ ] | 25 | $ 419 | [ ] |
- simultaneous node connections. | [ ] | 50 | $ 649 | [ ] |
- | [ ] | 100 | $ 995 | [ ] |
- | [ ] | 250 | $ 1995 | [ ] |
- +-------+-----+--------+-----------+
- Shipping Charges Subtotal: | [ ] |
- Ground: $ 6.00 Mass Residents | |
- 2 Day Air: $ 11.00 add 5% TAX: | [ ] |
- Overnight: $ 16.00 Shipping: | [ ] |
- COD Orders: add an additional $5.00 Order Total: | [ ] |
- Int'l Orders: Canada/Mexico add an additional +-----------+
- $15.00. All others add an additional $30.00.
-
- 3 BILL TO
-
- Name: [____________________________________________]
- Company: [____________________________________________]
- Street: [____________________________________________]
- [____________________________________________]
- City: [____________________________________________]
- State, Zip: [____________________________________________]
-
- 4 SHIP TO (if different than above)
-
- Name: [____________________________________________]
- Company: [____________________________________________]
- Street: [____________________________________________]
- [____________________________________________]
- City: [____________________________________________]
- State, Zip: [____________________________________________]
-
- 5 PAYMENT
-
- We accept company purchase orders (credit subject to approval), VISA,
- MasterCard, American Express, COD, checks, and money orders (check one).
-
- P.O. # [_____________________________________]
- [_] VISA [_] MC [_] AmEx [_] Check [_] Money Order [_] COD
-
- Credit Card # [_________________________________________]
- Expiration [_____________]
-
- Signature [_________________________________________]
-