HDM MicroFox Company Date ______________________ Post Office Box 447 Richfield OH 44286-0447 Purchase Order ______________________ U.S.A. (216) 659-9489 10am-6pm EST Mon-Fri QUANTITY U.S. DOLLARS Registration of current HDM ...... $35 per PC ______ ____________ Includes license to use, no disk or manual. Registration with Disk & Manual .. $50 per PC ______ ____________ Specify disk size: 5.25"______ or 3.5"______ 5-User Network License ....... $95 per Server ______ ____________ Includes both 5.25" & 3.5" disks + 1 manual. 10-User Network License ..... $125 per Server ______ ____________ Includes both 5.25" & 3.5" disks + 1 manual. 20-User Network License ..... $200 per Server ______ ____________ Includes both 5.25" & 3.5" disks + 2 manuals. Unlimited Network License ... $275 per Server ______ ____________ Includes both 5.25" & 3.5" disks + 3 manuals. 15-User Site License .......... $195 per Site ______ ____________ Includes both 5.25" & 3.5" disks + 1 manuals. 40-User Site License .......... $395 per Site ______ ____________ Includes both 5.25" & 3.5" disks + 2 manuals. 90-User Site License .......... $695 per Site ______ ____________ Includes both 5.25" & 3.5" disks + 3 manuals. Unlimited Site License ........ $995 per Site ______ ____________ Includes both 5.25" & 3.5" disks + 4 manuals. 25-User Corporate License .... $295 all Sites ______ ____________ Includes both 5.25" & 3.5" disks + 2 manuals. 100-User Corporate License ... $795 all Sites ______ ____________ Includes both 5.25" & 3.5" disks + 3 manuals. 300-User Corporate License .. $1395 all Sites ______ ____________ Includes both 5.25" & 3.5" disks + 4 manuals. Unlimited Corporate License . $1995 all Sites ______ ____________ Includes both 5.25" & 3.5" disks + 5 manuals. Additional Published Manuals ....... $10 each ______ ____________ for LAN, Site, or Corporate Licenses only. Additional Disks 5.25"_____ 3.5"_____ $2 each ______ ____________ for LAN, Site, or Corporate Licenses only. SUBTOTAL for this page ...................... ______ ____________ HDM Order Form (page 2) QUANTITY U.S. DOLLARS ALL ORDERS must include Shipping and Handling ______ ____________ USA $4 each, Canada $5 each, Others $9 each. Ohio residents, add 6.25% sales tax to total. SALES TAX ____________ NOTE: Remember to include shipping charges. TOTAL ____________ VISA or Master Card Number __________ __________ __________ __________ Expiration Date __________ Signature _________________________________ User Name ____________________________________________________________ Company ____________________________________________________________ Address ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Phone ___________________________ FAX ___________________________ Is this a personal _______ or business _______ registration? NOTE: Any HDM License can be upgraded to any other HDM License at any time for the difference in price between the two Licenses. (plus S&H). ______________________________________________________________________ SPECIAL OFFER FOR PC USER GROUP MEMBERS, SYSOPS, AND BBS USERS ______________________________________________________________________ You can receive the full $50 registered version of the Hard Disk Menu for $29 by helping to distribute HDM to others. Just give a copy of of the HDM disk to your PC user group's IBM disk librarian, upload it to a bulletin board, or if you are a BBS SysOp, make HDM available for downloading from your board. Change the $50 charge on the order form to $29. Then, fill out the form below and return it with your order. IBM PC User Group Name _______________________________________________ Address ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Bulletin Board Name __________________________________________________ BBS Phone Number _____________________________________________________ ______________________________________________________________________ ORDERS FROM OUTSIDE THE UNITED STATES ______________________________________________________________________ CANADIAN orders can be paid in U.S. Dollars or Canadian Dollars equal to the U.S. amount. The check can be drawn on a U.S. or Canadian bank. MicroFox Company is not subject to the Canadian withholding tax. OTHER COUNTRIES: Please make payment in one of the following ways: 1. By VISA or Master Card: call, fax, or mail the order form. 2. A check in your own currency. (equal to U.S. dollar amount) 3. A check in U.S. funds drawn on a U.S. or Canadian bank. 4. Cash sent by registered mail. (U.S. dollars or your own money) FAX (24 hours) and Voice (10am-6pm EST) phone number 1-216-659-9489. ______________________________________________________________________ Member of the Association of Shareware Professionals. You can contact MicroFox Company via CompuServe Mail: 73057,3113 (Jim Hass) For more order information, call (216) 659-9489, 10am-6pm EST. Mon-Fri ______________________________________________________________________ Where did you get your copy of HDM from? _____________________________ Name, Address, & Telephone ___________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Comments or changes you would like to see made to HDM ________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________