ESaSS B.V. +31 - 80 - 787 881 Voice Thunderbyte PC Immunizer Division P.O. Box 1380 +31 - 80 - 789 186 Fax 6501 BJ Nijmegen The Netherlands +31 - 85 - 212 395 BBS Bank account: 16.78.30.880 of Rabobank Nijmegen, The Netherlands. Giro account: 37.99.158 of Postbank Nijmegen, The Netherlands. ESaSS SHARE-WARE ORDER FORM You can order or register ESaSS SHARE-WARE by Mastercard, Visa, Check or Money Order. Corporate Purchase orders accepted for software from large corporations within the Netherlands. All licences are prepaid only. All orders outside of the Netherlands must be prepaid. To register please fill out the information requested below and send it to us by mail or via fax. -> DO NOT UPLOAD OR TRANSMIT THIS FILE TO ANY THUNDERBYTE SUPPORT BBS! Name: ________________________________________________________________ (Company): ___________________________________________________________ (Title): _____________________________________________________________ Address: _____________________________________________________________ ZIP/District Code: ___________________________________________________ City: ________________________________________________________________ Country: _____________________________________________________________ Phone Number: ________________________________________________________ Today's Date: ________________________________________________________ Method of payment: [ ] Check (send to address, mentioned above) [ ] Money order (send to bank, mentioned above) [ ] Mastercard [ ] Visa Card Number _____________________________________ Expiration Date _________________________________ Card Holder's Signature _________________________ ----------------------------------------------------------------------- TBSCAN Diskette with programs & documentation files - USD 21 or HFL 25________ * Commercial site licence for the use of TbScan. (Includes one diskette with programs & documentation files.) 2 to 25 computers at USD 19 or HFL 23 each _____x_____ ________ 26 to 100 computers at USD 16 or HFL 20 each _____x_____ ________ 101 to 500 computers at USD 14 or HFL 17 each _____x_____ ________ 501 to 1000 computers at USD 10 or HFL 14 each _____x_____ ________ TBSCANX Diskette with programs & documentation files - USD 21 or HFL 25________ * Commercial site licence for the use of TbScanX. (Includes one diskette with programs & documentation files.) 2 to 25 computers at USD 19 or HFL 23 each _____x_____ ________ 26 to 100 computers at USD 16 or HFL 20 each _____x_____ ________ 101 to 500 computers at USD 14 or HFL 17 each _____x_____ ________ 501 to 1000 computers at USD 10 or HFL 14 each _____x_____ ________ COMBINED (TBSCAN & TBSCANX) Diskette with programs & documentation files - USD 31 or HFL 37________ * Commercial site licence for the use of TbScan and TbScanX. (Includes one diskette with programs & documentation files.) 2 to 25 computers at USD 28 or HFL 34 each _____x_____ ________ 26 to 100 computers at USD 24 or HFL 30 each _____x_____ ________ 101 to 500 computers at USD 21 or HFL 25 each _____x_____ ________ 501 to 1000 computers at USD 15 or HFL 21 each _____x_____ ________ * One time fee for unlimited use USD 12000 or HFL 24000 ________ Extra program disk with purchase of site licences of 2 or more available at USD 5 or HFL 7 each _____x_____ ________ Please add USD 5 or HFL 5 for shipping and handling for each package _____x_____ ________ TOTAL ENCLOSED ________ -------- Diskette format (choose one): [ ] 5.25" disk [ ] 3.5" disk Please state on check/money order: 'TBSCAN', 'TBSCANX' or 'TBSCAN(X)'. * Includes a free upgrade to the next version of the software, when available. Thunderbyte, TbScan & TbScanX are registered trademarks of ESaSS B.V.