NOVAGRAPH ORDER FORM (Sep 94) Purchase orders accepted from corporations, gov't, institutions. SPECIAL INFORMATION FOR INTERNATIONAL ORDERS PAYMENT : Credit cards. Checks / Money Orders in US funds, drawn on US bank, or add $30 for collection fees. International Postal Money Orders in US$ accepted. Currency accepted at your own risk. Mail To: NOVAGRAPH Phone: (214) 231-2169 PO BOX 850115 FAX: (214) 235-0607 RICHARDSON TX 75085-0115 (Time Zone is GMT - 6 Hours) USA Name: ________________________________________________________ Company: ________________________________________________________ Address: ________________________________________________________ ________________________________________________________ ________________________________________________________ Charge #:_________________________________ Expire Date: _________ (Visa, MC, Amex, Discover) Phone: _______________ Signature:________________________________ FAX: _______________ Where did you get the demo version?______________________________ Software includes manual, 1 yr tech support/update notification. Qty Item (3.5" Disk Format Only) Each Ext Cost ~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~ ~~~~~~~~~ ____ Chartist(r) Single User 1 Copy $79.00 _________ ____ Chartist Single User 2-5 Copies 59.25 _________ ____ Chartist Single User 6-10 Copies 55.30 _________ ____ Chartist Five User (LAN/Site) 226.00 _________ ____ Chartist Ten User (LAN/Site) 386.00 _________ ____ Chartist-2* Single User 1 Copy 125.00 _________ ____ Chartist-2 Single User 2-5 Copies 93.75 _________ ____ Chartist-2 Single User 6-10 Copies 87.50 _________ ____ Chartist-2 Five User (LAN/Site) 357.00 _________ ____ Chartist-2 Ten User (LAN/Site) 611.00 _________ ____ Addl Manual (Five/Ten User Purch Rqd) 10.00 _________ ____ Upgrade Chartist to Chartist-2 50.00 _________ Chartist S/N (reqd):______________________ Shipping and Handling: _________ US: 3.00 (1st Item) 2.00 (Add'l Item) Elsewhere: 6.00 (1st Item) 4.00 (Add'l Item) Foreign bank fee (see above): 30.00 Total For Order _________ Sales Tax (8.25% Texas residents Only) _________ Total Including Taxes _________ *See DESCRIBE.TXT for "Chartist-2 Enhanced" specification.