ORDER FORM (DBF.BIN) Number of Workstations at User Site: ........ Computer Type: ........ Number of Copies of DBF.BIN Used : ........ Media 5.5"... 3.25"... Name of Company or Institutional Site: ............................ Site Address: Number: ............. Street: .............. Unit/Suite: .......... City: ............... State: ............... ZIP/Postal: .......... Country: ............................ User Telephone: ( )- - . Contact: ............................ Developer/Retail Vendor's Address: (If different to site address, order will be sent here !) Name of Developer/Vendor: ......................................... Number: ............ Street: .............. Unit/Suite: .......... City: .............. State: ............... ZIP/Postal: .......... Country: ............................ Developer's Telephone: ( )- - . Contact: ............................ Signature of Person Ordering: .............. Print Name: .......... The vendor/user must submit one order form per user site. Current price U.S. $15/workstation. Duty and local taxes payable if required by local law. (Currently negligible for U.S. customers.) Shipping and Handling: Extra. approx. $5.00 to U.S.A.. Send cheque or money order payable to Robin M. Day 8 Lisa St. #2306 Bramalea Ontario Canada L6T-4S6