ORDER FORM
FAB Software FED ID# 04-2861400
P.O. Box 336 (508) 358-6357
Wayland, MA 01778
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PRICE PRICE
PRODUCT QTY EACH EXTENDED
----------------------------- --- ----- --------
Newkey 5.0
Quantity 1 to 4 ___ $43.00 $_______
Quantity 5 to 9 ___ $34.40 $_______
Quantity 10 to 49 ___ $32.25 $_______
Quantity 50 to 99 ___ $30.10 $_______
Quantity 100+ ___ $27.95 $_______
Newkey Evaluation disk ___ $10.00 $_______
Purchase Order handling (whenever $6.00 $_______
invoice required)
Foreign orders, except Canada, add(*) $6.00 $_______
SUBTOTAL $_______
Massachusetts sales tax (5%) $_______
(for orders shipped to Mass. addresses only)
TOTAL $_______
Name: _________________________________Phone:________________
Address:_____________________________________________________
Address: ____________________________________________________
City, State, Zip: ___________________________________________
Where did you learn about Newkey?____________________________
_____________________________________________________________
Visa [ ] MasterCard [ ] Check [ ] (U. S. funds)
Card# ______________________________________
Expiration Date ____________________________
Signature __________________________________
I understand that if I am not completely satisfied, I may return
Newkey within 30 days for a refund of the purchase price.
Prices subject to change without notice.
* Foreign orders paid by check must be in US $ and drawn through a
US bank or through the US branch of a foreign bank.