---------------------------------- Stable Technical Graphs Order Form ---------------------------------- To purchase a licensed version of Stable Technical Graphs, please return this registration form along with your check, postal money order (drawn on U.S. FUNDS ONLY please), or credit card information and mail to or call: WINTERRA Software Group, Inc. P.O.Box 4106 Highlands Ranch, CO 80126-0100 USA Voice/Fax: (303) 470-6323 =================================================================== Name: __________________________________________________________ Company: __________________________________________________________ Address: __________________________________________________________ City: ____________________________ State: ______ Zip: ________ Phone: (______)____________________ Fax: (______)_______________ Date: __________________ Email: _______________________________ Format: [__] 3 1/2" 720-KB [__] 5 1/4" 360-KB Quantity: [__] Stable Technical Graphs @$49.95 $____________ Shipping/Handling/Customs [__] U.S. @$ 4.00 $____________ [__] Canada/Mexico @$ 6.00 $____________ [__] International @$12.00 $____________ TOTAL $____________ =================================================================== Method of Payment: [___] Check [___] Credit Card Credit Card Information: [___] Visa [___] Mastercard Card Number: ___________________________________ Name on Card: ___________________________________ Expiration Date: ___________________________________ Signature: ___________________________________ =================================================================== E210A9501