MSR Development P.O. Box 632070 Nacogdoches, Texas 75963-2070 (409) 564-1862 Office; (409) 560-5868 FAX; (409) 560-5970 BBS ______________________________________________________________________ Order Sheet BackMaster for OS/2 2.1 (3.5" Disks) Order By: Name ___________________________________________________________ Company ___________________________________________________________ Address ___________________________________________________________ ___________________________________________________________ City ___________________________________________________________ State (Province)__________________________ Zip Code(USA)____________ Postal Code (Foreign)_____________________ (Check One Please) Voice Phone # ___________________________ (Home___ Office___) Other Phone # ___________________________ (Home___ Office___ FAX ___ BBS ___) Ship to (if different): Name ___________________________________________________________ Company ___________________________________________________________ Address ___________________________________________________________ ___________________________________________________________ City ___________________________________________________________ State __________________________ Zip Code ____________ Payment Type: (check one please) Prepaid: ____ MasterCard/VISA Name on Card ____________________________ Account # _______________________________ Expires _____________ ____ Check/M.O. in Mail ____ C.O.D. (add $ 4.50 to UPS shipping charges) Ship via: UPS Ground ____ (UPS Blue _____ UPS Red _____) UPS CANNOT SHIP TO A P.O. BOX. (If P.O. Box service is needed, USPS priority may be substituted for UPS ground.) Price: ______ Copies @ $ 79.95 U.S. each ______ Taxes (TX residents add 8.25% - $ 6.60 per copy) ______ Shipping (UPS (ground svc), $ 5.00, $ 9.50 if C.O.D.; (UPS (2 day blue), $10.00, $ 14.50 if C.O.D.; (UPS (1 day red), $20.00, $ 24.50 if C.O.D.) ______ Total Signature _____________________________________ Date ________________ (Required for Credit Card Purchases) =========================================================================== CUT OFF HERE. ONLY SEND PORTION ABOVE. =========================================================================== If you are not in the U.S., please contact one of the following companies for prompt assistance. Indelible Blue, Inc. Below Zero P.O. Box 31306 166 EdgeValley Close NW Raleigh, NC USA 27622-1306 Calgary, Alberta (919) 834-7005 Voice Canada T3A 5E5 (919) 834-2406 FAX (403) 547-0669 Voice Richard Clement EDV Beratung Grimmelshausenstrasse 40 D-63526 Erlensee Germany +49 (0)6183-72918 Voice +49 (0)6183-74744 Fax Thank you for your interest in BackMaster for OS/2 2.1. We have several ways for you to contact us and place your order. 1. Call in a phone order during business hours. (9-5 Cental, M-F) 2. FAX this form 24 hrs a day. 3. Upload this form to MESSAGE AREA 1 (comments to SYSOP) on our BBS. There is an option under the message menu that allows you to Upload a message. For security reasons, we must restrict ALL orders to MESSAGE AREA 1. Please address the message to ORDER DESK. This area will be checked at least twice a day. The messages will be promptly printed and removed from the BBS to assure security of your information. Be sure to leave a phone number that you may be reached at during the day. Due to credit card fraud, we MUST be able to reach you to confirm the order if needed. This applies to FAXed orders as well. Please make SURE the you are in MESSAGE AREA 1 before you send your order. We want your order to be handled in a smooth and professional manner. Credit card information MUST be protected. Thank you for your order. Michael Airhart