=============================================================================== O R D E R F O R M =============================================================================== First Name ____________________________ Last Name _____________________________ Company ____________________________________________________________________ Address1 ____________________________________________________________________ Address2 ____________________________________________________________________ City/Town ____________________________________________________________________ State _______ Zip Code ______________ Country _________________________ Day Phone ____________________________ Fax # ________________________________ Serial # (upgrades from PowerBASIC, TurboBasic, QuickBasic, PDS) ______________ Credit Card; Discover [ ], Master Card [ ], Visa [ ], American Express [ ] Card # _____________________________________________ EX ____/_____ Signature ___________________________________________________________ Check [ ]; Please remit in U.S. funds drawn on a U.S. Bank. Shipping Quan Description Price (USA/ Int) Total ____ PowerBASIC 3.2 Full Product $149.00 $6 / $28 ________ ____ Full Upgrade (W/Manuals) from PB 2.x $ 59.00 $6 / $28 ________ ____ Upgrade From TurboBasic, QuickBasic, PDS, $ 99.00 $6 / $28 ________ and VBDOS ____ PowerBASIC Developer Kit for Windows $149.00 $6 / $28 ________ ____ PowerBASIC DK Bundle (Both PB 3.2 and PBDK) $289.00 $10/ $56 ________ ____ PB/Xtra II (Programmer's Reference Collection) $ 49.00 $4 / $10 ________ [__] CDROM [__] 3.5" Disk ____ PowerBASIC DLL Compiler for Windows $149.00 $6 / $28 ________ ____ QuickPak Professional for DOS $129.00 $6 / $28 ________ ____ SoftCode for PowerBASIC (Code Generator) $ 99.00 $6 / $28 ________ ____ SoftDemo and Flash-up Toolbox $ 49.00 $4 / $10 ________ All upgrades require a previous serial number. Sub-Total ________ Priority Shipping (USA Only) [__] Overnight add $16.00, [__] Second Day add $6.00 ________ [__] COD's (USA Only) Add $5.00 _________ Sales Tax (California Residents Only) @ 7.25% ________ Total ________ Total _________ PowerBASIC, Inc., 316 Mid Valley Center, Carmel, CA 93923 408-659-8000 voice, 408-659-8008 fax, 800-780-7707 orders only 75300,1742 CompuServe, sales@powerbasic.com Internet