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  1.      _____________________________________________________________________
  2.  
  3.                      Disk eXPress Shareware Order Form
  4.  
  5.                          Version 2.34  July 8, 1994
  6.  
  7.          (c) Copyright 1991-94, Albert J. Shan.  All Rights Reserved.
  8.      _____________________________________________________________________
  9.  
  10.                   Mail Orders To: BMT Micro
  11.                                   452 Horn Road
  12.                                   Wilmington, NC 28412-2411
  13.                                   U.S.A.
  14.  
  15.                     Voice Orders: 8:00am - 8:00pm EST (-5 GMT)
  16.                                   (800) 414-4268  (Orders Only!)
  17.                                   (910) 791-7052  (Orders, questions)
  18.      
  19.                       Fax Orders: (910) 350-2937  24 hours / 7 Days
  20.      
  21.          Online Orders via modem: (910) 350-8061  10 lines, all 14.4K
  22.                                   (910) 799-0923  Direct 28.8K line
  23.      
  24.               Internet Questions: thomas.bradford@bmtmicro.com
  25.                Fidonet Questions: 1:3628/11
  26.      Technical Support Questions: via Compuserve: 70730,401
  27.                                   via Internet:   70730.401@compuserve.com
  28.      
  29.      We accept Visa, Mastercard, Discover, Money Order, Cashiers Check,
  30.      Personal Check.  Please do not send cash in the mail.  Personal
  31.      checks are subject to clearance.
  32.      _____________________________________________________________________
  33.  
  34.  
  35.      Name ________________________________________________________________
  36.      Company _____________________________________________________________
  37.      Address _____________________________________________________________
  38.              _____________________________________________________________
  39.      Phone _______________________________________________________________
  40.  
  41.      Where did you hear about Disk eXPress? ______________________________
  42.      What Operating System do you use Disk eXPress under? DOS ___ OS/2 ___
  43.  
  44.  
  45.      Product                    Quantity Price  Number of copies
  46.      _________________________  ______________  ________________
  47.  
  48.      Disk eXPress                 $25.00 US   x ____________ = + $ _______
  49.  
  50.      Disk eXPress and Super       $45.00 US   x ____________ = + $ _______
  51.      Virtual Disk (save $10)
  52.  
  53.      Product is shipped on 3.5" diskette.
  54.  
  55.      The quantity discounts are as follows:
  56.         1 -  9 copies:      no discount
  57.        10 - 24 copies:     15% discount
  58.        25 - 49 copies:     20% discount
  59.        50 - 99 copies:     25% discount
  60.        100+ copies:        30% discount
  61.  
  62.      Less discounts                                            - $ _______
  63.  
  64.      Shipping and Handling (no quantity limit):                + $ _______
  65.  
  66.        1st Class .................................     Free
  67.        2nd Day Priority (USA) .................... $   4.00 US
  68.        Express (USA) ............................. $  12.00 US
  69.        Express (Outside USA) ..................... $  15.00 US
  70.        UPS Next Day Air (USA) .................... $  15.00 US
  71.  
  72.      Total:                                                      $ _______
  73.  
  74.      ⁄ƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒø
  75.      ≥                                                                    ≥
  76.      ≥ For credit card payment only                                       ≥
  77.      ≥                                                                    ≥
  78.      ≥ Credit card number: ______________________________________________ ≥
  79.      ≥                                                                    ≥
  80.      ≥ Expiration date: _________________________________________________ ≥
  81.      ≥                                                                    ≥
  82.      ≥ Authorization signature: _________________________________________ ≥
  83.      ≥                                                                    ≥
  84.      ¿ƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒŸ
  85.  
  86.      Each copy of the package includes the latest version of Disk eXPress,
  87.      Xtract, and a soft copy of the documentation on diskette.
  88.  
  89.