Wanvas Order Form 

Name (Please Print) ___________________________________________________
Company _______________________________________________________________
Address _______________________________________________________________
City ___________________________ State/Province ______ ZIP ____________
Country (if not USA) ___________________ Phone/Fax ____________________
E-Mail Address ________________________________________________________

[  ] I just want the registration code(s) E-Mailed or Faxed to me.  
     (Include no shipping charges.)

Quantity:                  x $40.00 per copy if less than 10
            _____________  x $35.00 per copy if 10 or more
                           (Please contact Ember Software for information 
                            about additional volume discounts or site 
                            licensing.)
= Subtotal:$_____________
                           If you indicated to just send the registration 
                           code, include no shipping charges.
                           Otherwise if shipping within USA or CAN, add $5.00
+ Shipping:$_____________  Or if shipping outside of USA or CAN, add $10.00

+ Tax:     $_____________  WA residents must include state sales tax.

= Total:   $_____________  (all prices US Dollars) 



Please send check or money order payable to "Ember Software" to:
    Ember Software
    PO Box 514
    Richland, WA 99352  (USA)

Allow four to six weeks for delivery.  If you include an E-Mail address or 
Fax number, your registration code will be sent when your order is received.


If you feel like giving some more information...
Where did you find Wanvas?
[  ]  Internet. Site: __________________________________________
[  ]  BBS. Name: _______________________________________________
[  ]  Service (America Online, etc): ___________________________
[  ]  Somebody gave it to me.
[  ]  Other: ___________________________________________________
[  ]  Unknown.

Would you purchase Wanvas if it were available for other platforms
(Check all that apply):
[  ]  Macintosh
[  ]  Unix. Platform(s): _______________________________________
[  ]  Other: ___________________________________________________