Dos Program Launcher V1.0 Registration Form Quantity Price Amount Dos Program Launcher Promo ________ $295.00/ea ________ (distributable version,including logo) Dos Program Launcher ________ $23.00/ea ________ (single user) Subtotal ________ Canadian Residents add 7% GST ________ B.C. Residents add 7% PST ________ TOTAL ________ Please send: _____ 5.25" _____ 3.5" disks ("HD" or "DD") Please send more information about the: _____ Promo "distributable version" _____ Network version -if you're not ordering at this time, but would like more information fast, fax this form or a cover letter to: Datasolv Technologies fax# 604-882-1569 We accept checks or money orders. Checks/money orders must be in Canadian or U.S. Funds drawn from a Canadian or U.S Bank. SHIP TO: Name: _________________________________________________________ Company: _________________________________________________________ Address: _________________________________________________________ _________________________________________________________ City: ________________________ Prov/State: ____________________ Country: ___________________________________Postal/Zip____________ Phone: (_______) ____________ - ___________________ (optional) Fax: (_______) ____________ - ___________________ " Send this form with payment to: Datasolv Technologies #38 8863-216 Street ** Please allow 2-3 weeks for delivery ** Langley, B.C. Canada V1M 2G9