*** ORDER FORM FOR CLIPMATE v4.0 *** (to order more than 5 copies, please see SITELIC.TXT) ------------------- PRODUCT INFORMATION ----------------------- Check Desired Item(s) Quantity Price Each --------------------------------------- -------- ---------- SOFTWARE ( ) ClipMate for Windows - Version 4.0 ________ $25.00 US ( ) Upgrade from Version 1.x or 2.x ________ $15.00 US ( ) Upgrade from Version 3.x ________ $10.00 US ( ) Upgrade for Multi-User License ________ $25.00 US (Includes 2 manuals & 2 diskettes) SHIPPING ( ) Within US and Canada (North America) FREE ( ) Overseas Shipping (outside of North America) $2.00 US SUBTOTAL ________ New York State Residents add appropriate Sales Tax ________ Please specify NY State County: _____________ GRAND TOTAL $________ ------------------ PAYMENT INFORMATION ------------------------ Payment Method: ( ) Check {MUST be drawn on a US bank} ( ) Cash ( ) Money Order ( ) Purchase Order ( ) Credit Card: ( ) Mastercard ( ) VISA ( ) Discover ( ) AMEX If Paying By Credit Card, Please Complete The Following: Cardholder Name ________________________________________ Credit Card # _______________________ Exp. Date __/__ Cardholder Signature:_____________________________________ -------------------------- SHIP TO --------------------------- Name: Company: Address: : : Country: Phone: Email Address: What is your primary operating environment: ( ) 16-bit (Windows 3.1, Windows for Workgroups) ( ) 32-bit (Windows 95, Windows NT) Source Of Evaluation Copy: -------------------- HOW TO REACH US -------------------------- VISA/Mastercard/American Express/Discover orders may be: FAXED to us at (716) 227-1145 PHONED to us at (716) 227-6505 EMAILED to: CompuServe id: 70743,2546 Internet: 70743.2546@compuserve.com OR sales@thornsoft.com Otherwise, include Check, Money Order, Credit Card Information, Cash, or valid Purchase Order, and mail to: THORNSOFT Development P.O. Box 26263 Rochester, NY 14626 Please make checks/money orders payable to THORNSOFT Development. THANK YOU FOR YOUR ORDER! ----------------------------------------------------------------