ORDER FORM - SINGLE ORDER EDI Install v1.00 *********************************************************** For multiple copies or site licenses please call Eschalon Development Inc. at (604) 520-1543. *********************************************************** NAME/CONTACT_______________________________________________ COMPANY____________________________________________________ STREET_____________________________________________________ CITY_______________________________________________________ STATE_________________________ ZIP_____________________ TELEPHONE _______________ FAX _________________________ EDI Install license.........................$32.00...______ US - Shipping and handling..................$ 3.00...______ Foreign - Shipping and handling.............$ 6.00...______ ========== Total in US Funds drawn on a US Bank.................______ Make checks or money-orders payable to: Eschalon Development Inc. Mail to: Eschalon Development Inc. 110-2 Renaissance Sq. New Westminster, BC V3M 6K3 Canada