MQ 1.0 Registration Form/Invoice Ordering by check: To order by check send this order form and a check payable to Steven G. Judd to: Steven G. Judd Tentacle Systems 84 Cove Road, Haddam Neck East Hampton, CT. 06424 Payments must be in US dollars drawn on a US bank, or you can send international postal money orders in US dollars. Credit card ordering: For information on ordering by MasterCard, Visa, see the section titled Credit Card Ordering on the next page of this form. Bulk licenses: a bulk license for MQ entitles an organization to receive one copy of the distribution package and duplicate the distribution disk for the specified number of copies. MQ is issued in both development and run-time forms. The development form includes the API help file and link library, the run-time version includes only the .DLL file. MQ Single Copy (DEV) ____ copies at $39 each = ______ MQ Bulk License (DEV) 2 to 9 systems: ____ systems at $35 each = ______ 10 to 24 systems: ____ systems at $31 each = ______ 25 to 49 systems: ____ systems at $27 each = ______ 50 to 99 systems: ____ systems at $23 each = ______ 100 to 199 systems: ____ systems at $19 each = ______ 200 to 499 systems: ____ systems at $15 each = ______ 500 and up systems: ____ systems at $10 each = ______ Additional Run-time licenses: 1 to 99 systems: ____ systems at $10 each = ______ 100 to 499 systems: ____ systems at $7 each = ______ 500 and up systems: ____ systems at $4 each = ______ Connecticut residents add 6% sales tax + ______ Total payment ______ Payment Method: [ ] Check or Money Order [ ] MasterCard [ ] VISA Card Number:______________________________ Exp. Date :______________________________ Your name as it appears on the card :_______________________________ NOTE: Credit Card orders will show as "HUMMINGBIRD" on your statement (. Prices guaranteed through August 1994. 3.5" disks are sent unless a 5.25" disk is requested. Name: ______________________ Date:___________ Company: _______________________________________ Address: _______________________________________ City, State, Zip: _______________________________________ Country: _______________________________________ Day Phone: ______________ Eve: _________________ Electronic Mail address: ________________________________ How did you hear about MQ __________________________ Comments: Any questions about the status of the shipment of an order, refunds, registration options, product details, technical support, volume discounts, dealer pricing, bulk licenses, etc., must be directed to Tentacle Systems, 84 Cove Road, Haddam Neck, East Hampton, CT. 06424 or by email to 71762,3712 on CompuServe.