---------------------------------------------------------------- PrintSwitch 1.0 ORDER FORM ---------------------------------------------------------------- All lines of this form must be completed in full in order to process your request. YOU MUST REGISTER EACH COPY OF PRINTSWITCH USED ON YOUR SITE BY MULTIPLE USERS OR OBTAIN A NETWORK VERSION. Single users may use it on their own multiple machines. Please make checks/money orders payable to MICHAEL HASCHKA & remit to: Michael Haschka 18653 Ventura Blvd., Suite 767 Tarzana, Ca 91356 USA Contact me for information on Network version and bulk discounts: Compuserve 73027,3307 or Fax (805) 482-6213 ----------------------------------------------------------------- PrintSwitch REGISTRATION FEE: Quantity: _____ copies at $10.00 (U.S.) per copy ---- ______ Shipping ($2.50 for U.S, $5.00 for International)- ______ TOTAL ENCLOSED ------------------------------------ ______ ----------------------------------------------------------------- Purchaser's Name and Shipping Address: ----------------------------------------------------------------- Your Compuserve Membership Number (If Member): ----------------------------------------------------------------- Telephone (Specify Day and Fax Numbers): Day: Fax: ----------------------------------------------------------------- Where Did You Obtain Your Original Unregistered Copy?/Comments. Comments? Suggestions? ----------------------------------------------------------------- Purchaser understands that PrintSwitch is provided AS IS and without warranty of any kind, either express or implied. Purchaser warrants that each copy will be used on only their machines and Purchaser's copy will not be made available to any third parties. Purchaser's Printed Name: ______________________________________ Signature: ______________________________________