PRINTSWITCH SITE LICENSE ORDER FORM TO: FROM: Michael Haschka Name: __________________________________ 18653 Ventura Blvd., #767 Tarzana, CA 91356 (Company): __________________________________ 805-484-7863 Voice (Title): __________________________________ 805-482-6213 Fax 73027,3307 Compuserve Address: __________________________________ City,State: __________________________________ Zip Code Country: _________________________ Date: _____________ Voice Phone: _________________________ Fax Phone: _________________________ Compuserve #: _________________________ * Commercial site license for the use of PRINTSWITCH. (Includes one diskette with program & documentation files.) 2 to 9 computers ..... at $8 each # computers ___x $8 . ______ 10 to 24 computers ..... at $7 each # computers ___x $7 . ______ 25 to 49 computers ..... at $6 each # computers ___x $6 . ______ 50 to 99 computers ..... at $5 each # computers ___x $5 . ______ 100 or more computers .. $500 one time fee ................. ______ Diskette format (choose one) 5.25" disk ____ 3.5" disk ____ Extra program disk with purchase of site licenses available at $4.00 each. _____x $4 ............... ______ California residents add 8% sales tax........................... ______ Please add $3.50 for shipping & handling ($5.00 for international orders) ....................... ______ Total enclosed ......... ______ Terms: Check or Money Order in U.S. funds. * Includes a free upgrade to the next version, when available.