MouseKeeper Order Form TO: FROM: *JOSWARE, Inc. Name: __________________________________ 25 Voorhis Dr. Old Bethpage, NY 11804 (Company): __________________________________ 516-293-8915 Address: __________________________________ City: __________________________________ Today's date: ___________ State, ZIP Code: __________________________________ (Country): __________________________________ Daytime Phone #: _________________________ FAX #: ____________________________ MouseKeeper =========== INDIVIDUAL USE Diskette with programs and printed documentation ......$29.95 x ______ Diskette with source code..............................$49.95 x ______ MULTIPLE USE * SITE LICENSE for the use of MouseKeeper. (INCLUDES ONE DISKETTE WITH PROGRAMS AND ONE PRINTED MANUAL.) 2 to 15 developers .... at $23 each # developers ___x 23 ______ 16 to 30 developers .... at $20 each # developers ___x 20 ______ 31 to 99 developers .... at $17 each # developers ___x 17 ______ WRITE OR CALL FOR PRICING ON QUANTITIES OVER 100. Extra program disk & documentation with purchase of SITE LICENSES OF 2 OR MORE available at $8.00 each. ___x 8 ______ Shipping & Handling US & Canada $3.50/item Outside US & Canada $5.00/item ______ NEW YORK RESIDENTS add applicable State Tax ______ TOTAL ENCLOSED US FUNDS US$________ TERMS: All payment must be by check, cashier's check or money order, in U.S. funds drawn on a U.S. bank. Sorry, at this time we cannot accept credit cards, and we cannot accept P.O. or "bill-me" orders. *Please make checks payable to "James Tyminski". Prices and terms subject to change without notice.