ThunderBYTE (TBAV) Anti-Virus Express Order Form ---------------------------------------------------------------------- ** Order TBAV Professional today .. ** ** and obtain our NEW cross-platform license ** ** Lifetime license for personal use - $99.95 ** ---------------------------------------------------------------------- You may order by contacting any one of the authorized agents, affiliates or distributors in your country or via ThunderBYTE's Online Services. Full details are available in the accompanying AGENTS.TXT file or send an e-mail to info@thunderbyte.nl Customer Information: (Leave blank where not applicable) Name: _________________________________________________________ Company: _________________________________________________________ Address: _________________________________________________________ _________________________________________________________ City: _____________________________________ State: __________ Zip: ___________ Country: ___________________________________ Home Phone: ____________________ Work Phone: _______________________ Fax: ____________________ E-mail/CIS ID: _________________________________________________________ Pricing (U.S. funds ONLY) TBAV Professional ________ copies at $99.95 each ________ Applicable Sales Taxes must be added - Above mentioned prices are excluding Value added Tax: Shipping and Handling Charge will be approximately $10.00/order. Total Payment: ___________ Credit Card Information: [ ] Visa [ ] MasterCard Card Number: ____________________________ Exp.Date: __________ Card Holder Signature: _________________________________________________ [Applicable taxes must be added, where required to do so by law] If you are interested in site licensing or special offers for corporations, educational or governmental sites full details are available in the accompanying AGENTS.TXT file or send an e-mail to info@thunderbyte.nl ESaSS-ThunderBYTE International