ORDER FORM To: Keycon Technologies, Inc. From: ________________________________ 210 Mill Street ________________________________ Suite 230 ________________________________ Lancaster, MA 01523-2046 ________________________________ Phone\FAX: 508-368-7612 ________________________________ Contact: ________________________________ Description Unit Price Quantity Total Sales POWER Organizer Professional $ 139.00 _________ $ _________ Single User Personal POWER Organizer Professional $ 49.00 _________ $ _________ Single User Sales POWER Organizer Lite $ 89.00 _________ $ _________ Single User Personal POWER Organizer Lite $ 39.00 _________ $ _________ Single User Sales POWER Organizer Professional $ 669.00 _________ $ _________ Six Pack Personal POWER Organizer Professional $ 239.00 _________ $ _________ Six Pack Sales POWER Organizer Professional $ 429.00 _________ $ _________ Six Pack Personal POWER Organizer Professional $ 189.00 _________ $ _________ Six Pack Sales POWER Organizer Manual $ 20.00 _________ $ _________ Personal POWER Organizer Manual $ 10.00 _________ $ _________ Sub-total $ _________ Massachusetts residents add 5% sales tax _________ Shipping (see rates below) _________ Total $ _________ Payment Method: __ Check __ Money Order Shipping Method: __ UPS Ground __ UPS 2nd Day Blue Label Air __ U.S. Postal Service Air Parcel Post Terms: Check drawn on U.S. Bank in U.S. funds. International bank or postal money order in U.S. funds. Purchase orders (net 30) accepted from larger corporations. All international orders must be prepaid. Upon receipt of this paid invoice, a bound copy of the manual and the current version of the software will be sent, as well as any additional manuals ordered. SHIPPING RATES ---------------------------------------------------------------------- | Shipping Method/Destination | First Manual |Each Addtnl Manual| |------------------------------|-------------------------------------| | UPS Ground | |--------------------------------------------------------------------| | United States (lower 48) | $ 4.00 | $ Free | |------------------------------|-------------------------------------| |------------------------------|-------------------------------------| | UPS 2nd Day Blue Label Air | |--------------------------------------------------------------------| | United States (lower 48) | $ 6.00 | $ 2.00 | | Alaska and Hawaii | 8.00 | 2.50 | | Rural Alaska | 17.00 | 2.50 | | Puerto Rico | 9.00 | 2.00 | |------------------------------|-------------------------------------| | U.S.P.S. Air Parcel Post | |--------------------------------------------------------------------| | United States and Puerto Rico| $ 5.00 | $ 2.50 | | Canada | 8.00 | 3.00 | | International Rate Group A | 12.00 | 4.00 | | International Rate Group B | 16.00 | 6.00 | | International Rate Group C | 19.00 | 8.00 | | International Rate Group D | 22.00 | 10.00 | | International Rate Group E | 25.00 | 12.00 | ---------------------------------------------------------------------- U.S. Postal Service Air Parcel Post Rate Groups A - Antilles, Aruba, Bahamas, Belize, Bermuda ($340 insurance limit), Cayman Islands, Costa Rica (no insurance), Dominican Republic (no insurance), Jamaica (no insurance), Mexico (no insurance), and Panama (no insurance). B - Austria, Barbados ($170 insurance limit), Bolivia (no insurance), Colombia (no insurance), Liechtenstein, Luxembourg, and Switzerland. C - Denmark, Ecuador (no insurance), Gibraltar, Greece (no insurance), Hong Kong, Iceland, Ireland ($1000 insurance limit), Israel (no insurance), Italy, Kuwait, Malta (no insurance), Netherlands, Portugal, Qatar, Spain ($340 insurance limit), United Kingdom, and West Germany. D - Argentina, Australia, Belgium, Chile (no insurance), Egypt, Finland, Kenya ($370 insurance limit), New Caledonia, New Zealand, Norway, Oman ($100 insurance limit), Pakistan ($430 insurance limit), Papua New Guinea, Paraguay (no insurance), Philippines ($210 insurance limit), Polynesia, Saudi Arabia (no insurance), Somalia, and Sweden. E - Brazil (no insurance), France, and Japan.