---------------------------------------------------------------------------- Equinox Software Products Order Form ---------------------------------------------------------------------------- Make your checks or money orders payable to: Bill Masuka and send it along with this form to: Bill Masuka 4715 South Springfield Chicago, Illinois 60632 BBS Name: __________________________________________________________________ Above line must be exact for the Registration code is based on it. (Upper, lower, or MiXED case as it does not matter) Name: ______________________________________________________________________ Address: ___________________________________________________________________ City: _________________________ State: ________________ Zip Code: __________ Voice Phone: (_____) _____-_______ Data Phone: (_____) _____-_______ Login Password: ___________________________________________________ (minimum of 6 characters, maximum of 13 characters) Below are the current available products: Description Version Cost (each) Total ---------------------------------------------------------------------------- NuScan............................. v8.01 .... $10.00 ........... __________ Turbo Login........................ v1.10 .... $10.00 ........... __________ File Requestor..................... v1.00 .... $10.00 ........... __________ PCBoard Tutorial................... v1.52 .... $20.00 ........... __________ Enter PROMPT Enhancer.............. v3.21 .... $10.00 ........... __________ Login.............................. v1.24 .... $10.00 ........... __________ Speed-Stats........................ v1.21 .... FREE ........... __________ Statistics......................... v2.10 .... FREE ........... __________ PCBpage and PCBchat................ v1.01 .... $10.00 ........... __________ Hi-Low............................. v1.02 .... $10.00 ........... __________ Slots.............................. v1.01 .... $10.00 ........... __________ Entire Package (all 11 PPE's) ................................$70.00 ........... __________ (Your savings: $30.00!) Sub-total __________ Delivery Costs (pick one): Uploaded to you $2.00 __________ By US Mail (3.5" HD disk, with all recent PPE's) $5.00 __________ You call and pick up (must provided name/password) Free __________ Grand Total __________ (You may also register via credit card. The page below will cover credit card orders. Include both pages if you wish to pay by credit card. You may also pay online via credit card and get your registration codes within 24 hours.) ---------------------------------------------------------------------------- Equinox Software Products Credit Card Order Form ---------------------------------------------------------------------------- _______________________________________ Name as it appears on the Credit Card Credit Card Type: _____ Visa _____ MasterCard _____ Discover _____ American Express ___________________________________________________________________ Credit Card Number _______ / _______ Expiration Date _____________________________ Amount to be billed on card _______________________________________ Signature (Any false information provided will be given to the proper authorities for credit card fraud is not tolerated!)