Sticky Notes 1.5 Order Form Please type in the following information: Name (first & last): ___________________________________ [Company]: _____________________________________________ Street/P.O. Box: _______________________________________ City, State/Province: __________________________________ ZIP/Postal Code: _______________________________________ Country: _______________________________________________ [Telephone (with Area Code)]: _________________________ Electronic Mail address: _______________________________ Version of Sticky Notes you are using: _________________ A site license covers a single organization for an area of up to 100 mile (160 kilometers) in radius. A world wide license covers everyone in a single organization. I order ___ single licenses (DM 15,--/US$ 10,-- each) = DM/US$ _________ ___ site licenses (DM 250,--/US$ 170,-- each) = DM/US$ _________ ___ world licenses (DM 800,--/US$ 550,-- each) = DM/US$ _________ of Sticky Notes. No extra charge for e-mail distribution. For each disk add DM 5,--/US$ 3,--. For mail inside of Europe add DM 10,--/US$ 7,--. For mail outside Europe add DM 20,--/US$ 14,--. Total amount: DM/US$ _____________ How did you hear about Sticky Notes? _____________________ Comments/Suggestions: ____________________________________ __________________________________________________________ __________________________________________________________ Please mail this form along with your check or money order. Be sure to make the check or money order payable to Frank Schroeder. Thank you for your support! Frank Schroeder Malzstr. 6/1045 67663 Kaiserslautern GERMANY fschroed@kagi.com FAX +49 631 13348