ORDER FORM TO: FROM: LARS JOSEFSSON Name: __________________________________ KARTVˇGEN 17 S-175 46 JˇRFˇLLA (Company): __________________________________ SWEDEN (Title): __________________________________ Address: __________________________________ Today's date: ___________ City,State: __________________________________ Zip Code Country: _________________________ UNITS Convertion Program * Singel user ......................................... $15. ______ * Commercial site license for the use of UNITS. 2 to 9 computers ..... at $13 each # computers ___x 13 ______ 10 to 24 computers ..... at $11 each # computers ___x 11 ______ 25 to 49 computers ..... at $9 each # computers ___x 9 ______ 50 to 99 computers ..... at $7 each # computers ___x 7 ______ 100 or more computers ... $600 one time fee ______ Diskettes are not mailed to registered users unless specifically requested. For such mailings, please add $10. Diskette format (choose one) 5.25" disk ____ 3.5" disk ____