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Text File  |  1998-09-23  |  4KB  |  67 lines
  1.  
  2.                       ORDER FORM - Impel Class Info v1.2
  3.  
  4. Name:__________________________________Date:_____________________________
  5.  
  6. Company:_________________________________________________________________
  7.  
  8. Address:_________________________________________________________________
  9.  
  10.         _________________________________________________________________
  11.  
  12. City:_________________________________ State:_________ Zip:______________
  13.  
  14. Country:______________________________ Phone:____________________________
  15.  
  16. Fax:__________________________________ E-Mail:___________________________
  17.  
  18.   Impel Class Info                        Price/Unit  Quantity   Total
  19. -------------------------------------------------------------------------
  20. |  1 - 10 units                          |   $10.00  |        |         |
  21. |----------------------------------------|-----------|--------|---------|
  22. | 11 - 24 units                          |    $8.00  |        |         |
  23. |----------------------------------------|-----------|--------|---------|
  24. | Site License (25+ units)               |  $213.00  |   1    |         |
  25. |----------------------------------------|-----------|--------|---------|
  26. | Source Code (VB v5.0, non-refundable)  |   $95.00  |   1    |         |
  27. --------------------------------------------------------------|---------|
  28. Prices good through 12/31/1998                     Sub Total  |         |
  29. Media: 3.5" High Density diskette                             |---------|
  30. Fixes/Updates: No charge             Tax (MN residents 6.5%)  |         |
  31.                                                               |---------|
  32.                       Shipping and Handling (see rates below) |         |
  33.                                                               |---------|
  34.                                                        Total  |         |
  35.                                                               -----------
  36. Shipping and Handling Rates:
  37. U.S.                     Canada                   International
  38. -------------------------------------------------------------------------
  39. U.S. Mail ...... $ 5.00  U.S. Mail ...... $ 6.50  U.S. Mail ...... $13.00
  40. FedEx 2nd Day .. $12.00  FedEx 2nd Day .. $18.00  FedEx Priority . $32.00
  41. FedEx Standard . $16.00  FedEx Standard . $21.00
  42. FedEx Priority . $19.00  FedEx Priority . $24.00
  43. -------------------------------------------------------------------------
  44.  
  45. Payment Method (select one):
  46. [ ] Check or Money Order (U.S. funds only) made out to Impel Solutions Corp
  47. [ ] Purchase Order (orders over $150.00 only) PO Number:___________________
  48.  
  49.        Remit Payment to:  Impel Solutions Corporation
  50.                               17452 Iceland Trail
  51.                                    Suite 112
  52.                               Lakeville, MN 55044
  53.                                  (612) 898-4423
  54.  
  55. TERMS
  56.  
  57. Payment is accepted via check or money order (U.S. funds from a U.S. bank);
  58. company purchase order at Net 30 days for orders over $150.00 and upon credit
  59. approval from large corporations within the U.S.A. and Canada. All licenses
  60. are prepaid only. All orders outside the U.S.A. and Canada must be prepaid.
  61. No runtime license fees will be charged with your compiled applications for
  62. source code purchases. Source code purchases are non-refundable. Please make
  63. remittance payable to Impel Solutions Corporation. Prices, terms and
  64. conditions subject to change without notice. 
  65.  
  66. Note: Credit card ordering will begin January 1999.
  67.