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  1. ┌──────────────────────────────────────────────────────────────────────────┐
  2. │                 USA & $US Payment & Non EEC Countries                    │
  3. │                  LANLOG  ORDER FORM +44 61 406 7399             LL1.1    │
  4. ├─────────────────────┬────────────────────────────────────────────────────┤
  5. │Customer Information:│                                                    │
  6. ├─────────────────────┘                                                    │
  7. │                                                                          │
  8. │Name:  __________________________     Shareware Product: __LANLOG________ │
  9. │                                                                          │
  10. │Address: ________________________     Phone: ____________________________ │
  11. │                                                                          │
  12. │         ________________________     Fax: ______________________________ │
  13. │                                                                          │
  14. │                                      Email: ____________________________ │
  15. │City: ___________________________                                         │
  16. │                                                                          │
  17. │Country: ________________________     ST: ____________  ZIP: ____________ │
  18. ├─────────────────┬────────────────────────────────────────────────────────┤
  19. │Quantity Calc:   │                                                        │
  20. ├─────────────────┘         LICENSE CALCULATION                            │
  21. │   2 to 9  computers ...  at $2.55  each computers ___x $2.55    ______   │
  22. │  10 to 24 computers .... at $2.43  each computers ___x $2.43    ______   │
  23. │  25 to 49 computers .... at $2.30  each computers ___x $2.30    ______   │
  24. │  50 to 99 computers .... at $2.04  each computers ___x $2.04    ______   │
  25. │ 100 to 199 computers ... at $1.87  each computers ___x $1.87    ______   │
  26. │                                                                          │
  27. │  Unlimited Licensing                       One Off Charge... $  85.00_   │
  28. │                                                                          │
  29. │  UK Unlimited Use         $510.00 one time fee                  ______   │
  30. │  UK and EC Unlimited     $1020.00 one time fee                  ______   │
  31. │  UK/US/EC Unlimited      $1530.00 one time fee                  ______   │
  32. │  World Unlimited         $2040.00 one time fee                  ______   │
  33. │                                                                          │
  34. │                                                         Total   ______   │
  35. │ Shipping & Handling   $10.00 per order                                   │
  36. │                                                                          │
  37. │ (call for shipping charges outside North America)               ______   │
  38. │ _________________________                                                │
  39. │ Please Make Cheques/Money       Add VAT to the total order      ______   │
  40. │ Orders Payable to:                                                       │
  41. │ _______PATHFINDER________       Total (including VAT)        £  ______   │
  42. │ ** Mastercard/Visa Accepted **  Enclose Payment for this amount          │
  43. ├────────┬───────────────────────────┬─────────────────────────────────────┤
  44. │Pricing:│   LANLOG Version 1.1      │ Please send me details about your   │
  45. ├────────┘                           │ other products, as marked:          │
  46. │ The price paid is the total sum of │  PC-AUDITOR - Professional   [  ]   │
  47. │ the price per PC multiplied by the │                                     │
  48. │ number of machines LANLOG's TSR is │  PsCan  - Software auditor   [  ]   │
  49. │ installed on + a one time charge.  │  LANLOG - Software meter     [  ]   │
  50. │ Unlimited Licenses are shown at    │  LASTRUN - Control in login  [  ]   │
  51. │ actual price to pay, no one time   │  UP2DATE - Central Auto Updt [  ]   │
  52. │ charge is involved.                │  LANSNAP - Check security    [  ]   │
  53. ├────────────────────────────────────┴─────────────────────────────────────┤
  54. │ Send to:                           │     CREDIT CARD PAYMENT DETAILS     │
  55. │ PATHFINDER                         │ Access/Mastcrd [  ]   VISA  [   ]   │
  56. │ 138 Compstall Road                 │                                     │
  57. │ Romily, Stockport                  │ Card # ____  ____  ____  ____       │
  58. │ Cheshire, SK6 4EW                  │                                     │
  59. │ United Kingdom                     │ Name ___________________ Exp _____  │
  60. │ Tel: +44 (0)61-406-7399            │ Address if different to above:      │
  61. │ Fax: +44 (0)61-406-7410            │ __________________________________  │
  62. │                                    │                                     │
  63. ├──────────────────────────────────────────────────────────────────────────┤
  64. │ Is this a User License  [  ]    OR  A  Service License [  ] - fill in a  │
  65. │                                     separate order form for your client  │
  66. └──────────────────────────────────────────────────────────────────────────┘
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