CallInfo  Version 1.0  Copyright (c) 1994 Code Blue Computer Systems, Inc.

SINGLE USER LICENSE ORDER FORM

MAIL TO:                              OR PHONE:
Code Blue Computer Systems, Inc.
PO Box 11476                          (800) 800-9009 (credit card orders only)
Alexandria, VA 22312                  (218) 233-4476 (all other calls)

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____ CallInfo                                   @ $20.00 each  $ ______

____ CallInfo Plus                              @ $79.95 each  $ ______
     (see CI.DOC for information)
                                                     Subtotal  $ ______

VIRGINIA RESIDENTS add sales tax                       @ 4.5%  $ ______

Shipping and handling (for CallInfo Plus)             @ $6.50  $ ______

TOTAL  (US Dollars drawn on US bank, payable to Code Blue)     $ ______

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Payment by  ( )CHECK   ( )VISA   ( )MC   ( )AMEX

Name

_____________________________________________________________

Company (only if company address)

_____________________________________________________________

Address

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Phone                                 Fax

_______________________               _______________________

Card #                                Expiration Date

_________________________________     ______________

Signature

__________________________________________

CallInfo is licensed only in accordance with the Code Blue license agreement.
See CI.DOC for license information.

Contact us about quantity discounts and multi-user licenses.