To order ZIP MANAGER, call (404) 319-9621 or print this form, fill it out and send it to: ATTN: ZIPMAN Software Builders, Inc. P.O. Box 2051 Smyrna, GA 30081-2051 Mastercard ____ Visa ____ Check ____ Money Order ____ Card Number _____________________________________ Exp. Date _______ Card Holder's Signature (REQUIRED) ________________________________ Today's Date _____________ Name: _____________________________________________________________ Company:___________________________________________________________ Title:_____________________________________________________________ Address:___________________________________________________________ City: ___________________________ State: _______ Zip: ____________ Phone Number: _____________________________________________________ -------------------------------------------------------------------------------- ZIP MANAGER for PKWARE for Windows 3.0/3.1 Diskette & Documentation .................................. $34.95 Special Introductory Discount until March 31, 1993 ....... -$15.00 SUBTOTAL ..................... $19.95 ______ Site license (Includes one diskette and one set of documentation) 2 to 9 computers @ $18.00 each .. # of computers ____ x 18 = ______ 10 to 24 computers @ $16.00 each .. # of computers ____ x 16 = ______ 25 to 49 computers @ $14.00 each .. # of computers ____ x 14 = ______ 50 to 99 computers @ $13.00 each .. # of computers ____ x 13 = ______ 100 to 149 computers @ $12.00 each .. # of computers ____ x 12 = ______ 150 to 199 computers @ $11.00 each .. # of computers ____ x 11 = ______ 200 to 999 computers ...................... ONE TIME $2,000.00 = ______ 1000 to 4999 computers ..................... ONE TIME $5,000.00 = ______ 5000 to 9999 computers .................... ONE TIME $10,000.00 = ______ 10000 to 49999 computers ................... ONE TIME $20,000.00 = ______ 50000 and more computers ................... ONE TIME $30,000.00 = ______ Extra diskette and documentation with purchase of site license of 2 or more at $8.00 each ........................... ____ x 8 = ______ SUBTOTAL ________ Diskette format (choose one) 5.25" disk ____ 3.5" disk ____ ZIP MANAGER for PKWARE for OS/2 2.0 Diskette & Documentation .................................. $39.95 Special Introductory Discount until March 31, 1993 ....... -$15.00 SUBTOTAL ..................... $24.95 ______ Site license (Includes one diskette and one set of documentation) 2 to 9 computers @ $21.00 each .. # of computers ____ x 21 = ______ 10 to 24 computers @ $19.00 each .. # of computers ____ x 19 = ______ 25 to 49 computers @ $17.00 each .. # of computers ____ x 17 = ______ 50 to 99 computers @ $15.00 each .. # of computers ____ x 15 = ______ 100 to 149 computers @ $14.00 each .. # of computers ____ x 14 = ______ 150 to 199 computers @ $13.00 each .. # of computers ____ x 13 = ______ 200 to 999 computers ...................... ONE TIME $2,450.00 = ______ 1000 to 4999 computers ..................... ONE TIME $6,000.00 = ______ 5000 to 9999 computers .................... ONE TIME $12,000.00 = ______ 10000 to 49999 computers ................... ONE TIME $24,000.00 = ______ 50000 and more computers ................... ONE TIME $36,000.00 = ______ Extra diskette and documentation with purchase of site license of 2 or more at $10.00 each .......................... ____ x 10 = ______ SUBTOTAL ________ Diskette format (choose one) 5.25" disk ____ 3.5" disk ____ -------------------------------------------------------------------------------- SUBTOTAL (Add Windows Section and OS/2 Section SUBTOTALS) ....... ________ Georgia Residents add 5% sales tax .............................. ________ Please add $3.50 for shipping and handling (per package) ($5.00 overseas/package) ........................................ ________ TOTAL ENCLOSED .......................... ________ Terms: Mastercard, Visa, check or moneyorder drawn on a U.S. bank in U.S. funds. Corporate purchase orders (net 30) accepted for software from large corporations within the U.S. and Canada. All other licenses are prepaid only. All orders outside the U.S. and Canada must be prepaid. REFERRAL BONUS Read BONUS.TXT for detailed bonus information. Referral Person's Name (REQUIRED) __________________________________________ Serial Number of Referral's ZIPMAN (REQUIRED) ______________________________ Approximate Date of Registration ___________________________________________ Referral's Signature (REQUIRED) ____________________________ Date __________ Phone Number ___________________________________________ Address Change ________________________________________ ________________________________________ ________________________________________ ________________________________________ Referral bonus check will be sent to address we have on file unless noted above. ZIP MANAGER is a trademark of Software Builders, Inc., Smyrna, GA PKWARE is trademark of PKWARE, Inc. Windows is a trademark of Microsoft Corporation