--------------------------------------------------------------------------- InVircible - SOFTWARE ORDER FORM --------------------------------------------------------------------------- Return this form along with your remittance to: Vine Computer Industry PO Box 50124 Cicero IL. 60650 Internet Mail: Questions To: InVircible Support Latest Copy Via: FTP SERVER ftp.netcom.com:/pub/antivir Voice Toll Free Ordering: 1-800-422-5130 Visa/MasterCard FAX: 1-708-863-1917 Canada Dial: 1-708-863-8692 *************************************************************************** On CompuServe Contact: Robert C. Casas, Ph.D. CIS: 73763,20 For InVircible Sales and Support Quantity Discounts: Quantity [1-3] InVircible Single-User Packages @ $99.00 each. Quantity [4-10] InVircible Single-User Packages @ $89.00 each. Quantity [11-25] InVircible Single-User Packages @ $79.00 each. Quantity [26-50] InVircible Single-User Packages @ $69.00 each. Quantity [51-100] InVircible Single-User Packages @ $59.00 each. Quantity [101-500] InVircible Single-User Packages @ $49.00 each. Quantity [501-1000] InVircible Single-User Packages @ $39.00 each. Quantity [1001-10000] InVircible Single-User Packages @ $29.00 each. ORDER: [ ] ____ InVircible Single-User Package(s) @ $99.00 each. Includes: Manual, Registered Disk, and One Year of Internet / BBS Support. [ ] For orders within the continental U.S. and Canada, please add $4.00 shipping and handling. [ ] For orders outside the continental U.S. and Canada, please add $5.00 shipping and handling. [ ] FEDEX 2-Day Express mail service [Continental US only] please add $10.00 International Express Mail - please call Checks and money orders must be in U.S. dollars drawn on a U.S. bank. Do Not Enclose Cash. Total enclosed . . . . . . . . . . . . . . $______________ Payment by: [] Check [] Money Order [] Visa [] Master Card SHIP TO: Name _____________________________________________________ Address 1 ________________________________________________ Address 2 ________________________________________________ City __________________________ State/Province ___________ Zip/Postal Code ________________ Country _________________ Telephone (______)________________________________________ Disk Size Required: [ ] 3.5" (1.44Mb) [ ] 5.25" (1.2Mb) SITE LICENSE REGISTRATIONS -------------------------- Site licenses are also available for businesses or groups requiring multiple copies of InVircible. Site licenses allow organizations to obtain InVircible at a substantial discount from the standard retail costs. For site licensing information call: Vine Computer Industry 1-800-422-5130