Wanvas Order Form (1.10) You may either fill out this order form and send it directly to Ember Software, or run the Register program to use credit cards, etc. Name (Please Print) ___________________________________________________ Company _______________________________________________________________ Address _______________________________________________________________ City ___________________________ State/Province ______ ZIP ____________ Country (if not USA) ___________________ Phone/Fax ____________________ E-Mail Address ________________________________________________________ Quantity: _____________ x $10.00 per copy (No disk(s)) _____________ x $20.00 per copy (3.5 disk(s) & shipping.) (Please contact Ember Software for information about volume discounts or site licensing.) = Subtotal:$_____________ + Tax: $_____________ WA residents must include state sales tax. = Total: $_____________ (all prices US Dollars) Please send check or money order payable to "Ember Software" to: Ember Software PO Box 514 Richland, WA 99352 (USA) Include an E-Mail address or Fax number, and your registration code will be sent when your order is received. Otherwise allow four to six weeks for delivery of disks or registration codes. If you feel like giving some more information... Where did you find Wanvas? [ ] Internet. Site: __________________________________________ [ ] BBS. Name: _______________________________________________ [ ] Service (America Online, etc): ___________________________ [ ] Somebody gave it to me. [ ] Other: ___________________________________________________ [ ] Unknown. Would you purchase Wanvas if it were available for other platforms (Check all that apply): [ ] Macintosh [ ] Unix. Platform(s): _______________________________________ [ ] Other: ___________________________________________________