To order BookMan, please fill out the form below. Use your street address only, please. WE CANNOT SHIP TO A POST OFFICE BOX. Or call (713)480-6841 *-----------------------------------* BookMan - Registration and Order Form *-----------------------------------* Date: ____________ Name: _____________________________ Title: __________________ Company: _______________________________________________________ Address: _______________________________________________________ ________________________________________________________________ City: __________________________________________________________ State/Country: ________________________ Zip: ___________________ Phone Work: (_____) _____ - ______ Fax: (_____) _____ - ______ Comments:_______________________________________________________ ________________________________________________________________ Method of payment: Please complete the worksheet below and choose one of the payment options indicated. Texas State residents must add sales tax. ALL CHECKS AND MONEY ORDERS MUST BE DRAWN ON U.S. FUNDS ONLY. +===============================================================+ | | | Cost | Total | | Quantity | Description | per unit | Cost | +==========+==============================+==========+==========+ | | BookMan | | | | | Reference Guide Manager | $129.00 | | +==========+------------------------------+----------+----------+ | Texas residents add 8.25% sales tax | | +---------------------------------------+----------+ | For COD order, add $4.00 | | +---------------------------------------+----------+ | Shipping Cost if Overseas, add $15.00 | | +===============================+=======+==========+ | TOTAL > | Please indicate diskette format: [ ] 5.25 +=======+==========+ [ ] 3.5 [ ]Check [ ]Money Order [ ]COD [ ]Purchase Order Check/Money Order No.__________ enclosed for $______________ Purchase Order #:______________________________________________ Signature: ____________________________________________________ --------------------------------------------------------------- SEND TO: Process CAD Applications 17629 El Camino Real, Suite 112 Houston, Texas 77058 PHONE: (713)480-6841 FAX: (713)486-9643