ORDER FORM __________ Purchaser Name : _________________________________________________________ Company Name (50 characters max.) : _______________________________________ (Enter the company name as it is to appear on your software license) Company Address : ___________________________________________ ___________________________________________ ___________________________________________ Phone : ( ) - Ext - ___________________________________________ 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컫컴컴컴컴컴쩡컴컴컴컴컴컫컴컴컴컴컴컴컴커 � � Quantity � � � � Description 쳐컴컫컴컴캑 Unit Price � Total � � � 3� � 5� � � � 팠袴袴袴袴袴袴袴袴袴袴袴袴袴曲袴袴妄袴袴妄袴袴袴袴袴曲袴袴袴袴袴袴袴孤 �(400000) INSIGHT Demo � � � $ 10.00 � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴탠컴컴탠컴컴컴컴컴컵컴컴컴컴컴컴컴캑 �(400001) INSIGHT For SIM � � � $ 1250.00 � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴탠컴컴탠컴컴컴컴컴컵컴컴컴컴컴컴컴캑 �(400002) INSIGHT For IMG � � � $ 1750.00 � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴탠컴컴탠컴컴컴컴컴컵컴컴컴컴컴컴컴캑 �(400003) INSIGHT For MMG � � � $ 2500.00 � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴탠컴컴탠컴컴컴컴컴컵컴컴컴컴컴컴컴캑 �(400004) INSIGHT For UMG � � � $ 3500.00 � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴탠컴컴탠컴컴컴컴컴컵컴컴컴컴컴컴컴캑 �(400100) MatPort � � � $ 50.00 � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴탠컴컴탠컴컴컴컴컴컵컴컴컴컴컴컴컴캑 �(400110) 32MegFix � � � $ 50.00 � $ � 팠袴袴袴袴袴袴袴袴袴袴袴袴袴賈袴袴鳩袴袴鳩袴袴袴袴袴曲袴袴袴袴袴袴袴孤 � Subtotal � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴컴컴컴컴컴캑 � Applicable NYS Sales Tax (NY Residents Only) � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴컴컴컴컴컴캑 � Shipping & Handling (Total Items X $5.00) � $ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴컴컴컴컴컴캑 � *** TOTAL *** � $ � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컨컴컴컴컴컴컴컴켸 Make check or money order payable to On-Line Data Solutions, Inc. Mail order form and payment to : On-Line Data Solutions, Inc. P.O. Box 1457 Lake Grove, NY 11755-9998 Allow 4 to 6 weeks for delivery. All prices are subject to change without notice. A 15% restocking fee is applicable to all items returned. Only uninstalled/unopened software is acceptable for return. Items must be returned within 14 days. Ord1.06