ORDER FORM Name: ______________________________________________ Company: ___________________________________________ Address: ___________________________________________ City: ______________________________ State: ________ Zip code: _____________________ Phone: _____________________________ Ext: _________ Product Quanity Price/each Total ------------------------------------------------------------------------------ QMANAGER (Server license) _______ x $49 = _________ QMONITOR included free The Print Queue Management Utility QMANAGER PRO (Server license) _______ x $79 = _________ QMONITOR PRO included free The ULTIMATE Queue Management Utility --------------------------------------- Shipping and Handling ($5) (Fed Ex available for $15) (COD Charge add $10) _________ Total order: _________ How do you wish to pay for your order: Purchase Order _______ Check _________ COD _____________ Visa __________ Account Number: ___________________________________ Expiration Date: _________________ [All orders shipped on 3-1/2"] Additional information: What version Netware are you running? ______________ Please return form to: Fax (703) 715-2691 DanaSoft PO Box 220168 (703) 620-3554 Chantilly, VA 22022 (800) 800-9301