NOVAGRAPH ORDER FORM (12/92) Fill out the information below, total your order, and mail this form and your check or money order, or credit card information (VISA or MC), US$. SPECIAL INFORMATION FOR INTERNATIONAL ORDERS PAYMENT : Visa, MC are the best alternatives. Checks / Money Orders must be in US funds, drawn on a US bank, else add $25 for collection fees. International Postal Money Orders in US$ are accepted. US currency is accepted (send at your own risk). DELIVERY : By Air Mail - Small Packet, or Air Parcel Post. CUSTOMS : Declaration shows disk at $1 each, manual at $3 each with remainder of declared amount for "intellectual property license." This usually results in the lowest customs charges, if any. Mail To: NOVAGRAPH Phone: (214) 231-2169 10014 LAWLER RD FAX: (214) 235-0607 DALLAS TX 75243 USA (Time Zone is GMT - 6 Hours) Name: _______________________________________________________________ Company: _______________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Charge: __VISA __MC #:_________________________________ Exp: _________ Signature:_______________________________ Phone: ______________________ Ordr Item Each Ext Cost ~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~ ~~~~~~~~~ ____ Chartist Registration $69.95 _________ Single User, Printed Documentation, 1 yr tech support, update notification. ____ Chartist-2 Enhanced Product 109.00 _________ Single User, Printed Documentation, 1 yr tech support, update notification. ____ Technical Documentation Option 25.00 _________ Shape lib doc, 6 months special support. Text File format doc. ____ Upgrade Chartist to Chartist-2 50.00 _________ Chartist S/N (reqd):____________________ Shipping and Handling, per order _________ US: 3.00 Elsewhere: 6.00 Foreign bank fee (see above): 25.00 Total For Order _________ Sales Tax (8.25% Texas residents Only) _________ Total Including Taxes _________ INDICATE DISK FORMAT: ____3.5" ____5.25" ~~~~~~~~~~~~~~~~~~~~~ See DESCRIBE.TXT for network / site license pricing.