BBS Access (DOS) Registration & Order Form Date ______________________ MicroFox Company http://ourworld.compuserve.com/hompages/microfox PO Box 447 Internet: 73057.3113@compuserve.com Richfield OH 44286-0447 Telephone Orders (216) 659-9489 USA CompuServe Mail: 73057,3113 BBS Registration: $29.00 U.S. each Quantity _____ Amount __________ Multi-User Licenses: (check one) (All prices are U.S) 10-User 100-User 500-User 1000-User Unlimited Amount __________ $100 ___ $300 ___ $500 ___ $700 ___ $900 ___ Please include Shipping Charges: $2 USA, $3 Canada, $5 Others __________ Ohio residents: SubTotal __________ 5.75% Sales Tax ________ TOTAL __________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VISA or MasterCard (EuroCard/Access) Number _______________________________ Expiration Date ________ Signature:_______________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name ___________________________________________ Phone ____________________ Address ___________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ NOTE 1. All prices shown are in U.S. Dollars. 2. Remember to include shipping charges on all orders. 3. Ohio residents, add the state sales tax to the total amount. 4. If paying by credit card, specify the expiration date and sign it. 5. if paying by check, make it payable to MicroFox Company. USA or Canada: Make checks in U.S. Dollars or equivalent Canadian Dollars. Other countries: make cheques in your own currency equal to the U.S. amount. Do -NOT- send cheques in U.S. Dollars if they not drawn on a U.S. or Canadian bank. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Comments or Suggestions __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________