QUICKCOLOR ORDER FORM Please mail this form to: EnTech Taiwan 7F-18, Lane 313, FuShing N. Rd. Taipei, Taiwan ROC E-mail: entechtawain@msn.com Internet: http://www.entech.com.tw Date: __________________ Product Price* Qty Subtotal ------------------------------------------------------------------ QuickColor Registration (no disks) US$ 20.00 ___ ________ ------------------------------------------------------------------ Registration via E-Mail** $ 0.00 ___ ________ Registration via Fax*** $ 2.50 ___ ________ Shipping via Mail (diskette)**** $ 5.00 ___ ________ ------------------------------------------------------------------ Total ________ ------------------------------------------------------------------ *Payment must be in US dollars or equivalent by international money order. **Registration number will be e-mailed immediately upon receipt. ***Registration number will be faxed immediately upon receipt. ****Please allow up to 14 days for delivery of a diskette. SHIPPING DETAILS Name: __________________________________________________ Title/Department: __________________________________________________ Company: __________________________________________________ Address: __________________________________________________ __________________________________________________ City: __________________________________________________ State/Province: __________________________________________________ Post/ZIP Code: __________________________________________________ Country: __________________________________________________ Phone: __________________________________________________ Fax: __________________________________________________ Internet Mail: __________________________________________________ The following information will contribute towards enhancements to, and refinements of QuickColor. QuickColor will be used under: [ ] Win95 [ ] WinNT [ ] Both Graphics chipset (be specific) ____________________________________ Graphics card manufacturer ____________________________________ Monitor manufacturer and model ____________________________________ Thank you for your order.