QWS3270 EXTRA Order Form Mail to: Jolly Giant Software Inc. 56 Chartwell Crescent Kingston, Ontario, Canada K7K 6P3 voice: 613-541-0740 fax: 613-544-2459 e-mail: Name: __________________________________________________ Company Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ Phone Number: __________________________________________________ E-mail Address: __________________________________________________ (If not Internet, please specify.) Attachment format: ___ MIME or ____ UUENCODE FTP Site: __________________________________________________ ---------------------------------- | QTY | Price Each | Total | | | (U.S. dollars) | | ---------------------------------- | | $35.00 | | ---------------------------------- VISA payment info: (VISA orders will be charged at a rate of $47 CDN) Card Number: ___________________________ Expiry Date: _____________ Name on Card: _______________________ Signature: __________________ Send this form along with your cheque to: Jolly Giant Software Inc., 56 Chartwell Crescent, Kingston, Ontario, Canada K7K 6P3. Please indicate your preferred method of delivery - FTP, e-mail, or surface mail. (FTP and e-mail deliveries will receive free upgrades for six months as they become available; surface mail will not.) Please contact Jolly Giant Software Inc. for site licenses information, comments or suggestions. Attempts will be made to solve reported problems. If you discover any bugs or problems please contact the developer at the above e-mail address.