DinoSoft Inc. Richard Turcotte 3507 Notre-Dame Ste-Foy, Qu‚bec Canada G2E 3L9 Name : __________________________________ Company : __________________________________ Street : __________________________________ __________________________________ City/State : __________________________________ Country : __________________________________ Postal code : __________________________________ Fax number : __________________________________ Phone number : __________________________________ CIS/INTERNET id : __________________________________ |------------------------------------------------------------------| | Products | *Price u.s.| # ordered | Total | |------------------------------------------------------------------| | Network Assistant v2.3b | | - 1st copy $100us/$125cn __________ __________ | | - additional copies $30us/$38cn each__________ __________ | | | | Shipping & Handling cost $6us/$5cn | | ---------- | | Sub-Total __________ | | (Canadian resident add %7 for TPS) __________ | | (Qu‚bec resident add %6.5 for TVQ) __________ | | ÄÄÄÄÄÄÄÄÄÄ | |TPS#:R139349708 Total __________ | |TVQ#:1017162086 | |------------------------------------------------------------------| *Network Assistant additional registered names for each copy: _________________________ ______________________ _________________________ ______________________