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  1. NUIQ SOFTWARE INC   ORDER FORM  (914) 833-3479   833-3623 FAX  834-7830 BBS
  2.  
  3. *QTY*  PRODUCTS                                                TOTAL
  4. [   ]  Powerboard DemoPak - Demo Disk & Brochure      $0       [     ]
  5. [   ]  Powerboard BBS Single Line/Node                $99      [     ]
  6. [   ]  Powerboard BBS 3-Node                          $175     [     ]
  7. [   ]  Powerboard BBS 6-Node                          $275     [     ]
  8. [   ]  Powerboard BBS 9-Node                          $325     [     ]
  9. [   ]  Powerboard BBS 99-Node                         $750     [     ]
  10. [   ]  Powerboard BBS 499-Node                        $1300    [     ]
  11. [   ]  Powerboard BBS 999-Node                        $2300    [     ]
  12. [   ]  PB BBS Custom: 9Node + $5/Node (ie $330 for 10-Node)    [     ]
  13. [   ]  Powerboard Developer's Kit (w/o Powerboard)    $100     [     ]
  14. [   ]  Powerboard Developer's Kit (w/ Powerboard)     $50      [     ]
  15. [   ]  PowerTime BBS Usage Bulletin Creator           $15      [     ]
  16. [   ]  LASTCALL 1.0 Callers Bulletin Creator          $15      [     ]
  17. [   ]  PROPROMPT Enhanced DOS Prompt Creator/Editor   $15      [     ]
  18. *QTY*  UPGRADES - Must include Serial Number [   ]             TOTAL
  19. [   ]  Disk upgrade to latest version of PB BBS       $15      [     ]
  20. [   ]  Upgrade node version - Price difference plus 15%        [     ]
  21. *QTY*  SERVICES                                                TOTAL
  22. [   ]  Add'l year tech support/bbs access/newsletter  $50      [     ]
  23.  
  24.        SUBTOTAL                                                [     ]
  25.  
  26.        SALES TAX (Delaware & New York residents only)          [     ]
  27.  
  28.        SHIPPING AND HANDLING                  FIRST ITEM  ADDL TOTAL
  29.        Ground Shipping (USA-48 states only)         $8    $3   [     ]
  30.        Canada & other North American                $15   $6   [     ]
  31.        Other Foreign                                $30   $15  [     ]
  32.        Federal Express 2-Day (USA-48 states only)   $25   $6   [     ]
  33.        Federal Express Overnight (USA-48 only)      $40   $10  [     ]
  34.        COD SERVICE ADD $15                                     [     ]
  35.  
  36.        TOTAL                                                   [     ]
  37.  
  38. Name __________________________ Company _________________ Date ____________
  39.  
  40. Address _______________________ City ___________ State ____ Postal ________
  41.  
  42. Phone ________________ How did you hear of us? ____________________________
  43.  
  44. Ship To Address (if different) ____________________________________________
  45.  
  46.                                ____________________________________________
  47. PAYMENT METHOD (Check One): [  ] VISA [  ] MASTERCARD [  ] CHECK/MONEY ORDER
  48. [  ] COD (add $15) [  ] PURCHASE ORDER (Government and Rated Companies only)
  49.  
  50. Card Number ______________________________ Exp Date _______________________
  51.  
  52. Cardholder Name _________________ Signature _______________________________
  53.  
  54. Make Checks Payable To: NUIQ SOFTWARE INC, P.O. BOX 832, LARCHMONT NY 10538
  55.  ** Checks must be in U.S. funds, drawn on a U.S. bank **
  56.  
  57.