ACDSee v1.31 Image Viewer Order Form ACD Systems ACD Systems 2201 North Collins Suite 230 or PO Box 730, Victoria Arlington, TX, USA 76011 B.C. Canada V8W 2P9 FAX (817) 265-6877 FAX (604) 475-6651 Name___________________________________________ Date____________ Company________________________________________ Phone___________ Street_________________________________________ FAX_____________ City _____________ State _____ Country ___________ Zip _________ Email___________________________________________________________ ALL AMOUNTS ARE UNITED STATES DOLLARS SINGLE USER LICENSE: License Only - NO Disk - NO shipping = $18.00 OR We ship one 3.5" registered disk (+ shipping) = $30.00 Upgrade from version 1.0 through 1.25 = $8.00 SITE LICENSE: Must supply a proper business name. 3 to 10 users @ $13.00 each X ____units = _______ 11 to 30 users @ $10.00 each X ____units = _______ 31 to 100 users @ $ 8.00 each X ____units = _______ 101 to 300 users @ $ 6.00 each X ____units = _______ 301 to 1500 users $2000.00 = _______ 1501 to 3000 users $3000.00 = _______ over 3000 users @ $ 1.00 each X ____units = _______ Site license disks @ $ 7.00 each X ____units = _______ Shareware redistribution kit $71.00 = _______ Subtotal _______ Disk shipping (U.S. and Canada) $4.95 _______ Disk shipping (Other Areas) $11.00 _______ Texas residents add state tax: _______ Total (US funds only) _______ Method of payment: Cheque__ Money order__ Mastercard__ VISA__ Name exactly as on credit card _________________________________ Card Number________________________________ Exp.Date___________ Signature_______________________________________________________