Download Wonder(tm) Order Form ------------------------------ 1. Current version number of Download Wonder(tm): 1.43 2. Shipping Information (Please TYPE or PRINT): Name:_______________________________________________ Company:____________________________________________ Address:____________________________________________ ____________________________________________ City/State:______________________ ZIP:____________ Country:____________________________________________ Phone: ____________________ E-mail: ______________ 3. Download Wonder(tm) Single Copy ____ at $29.77 each =__________ Download Wonder(tm) Site Licenses: 4 to 24 computers: _______ at $24 each = __________ 25 to 99 computers: _______ at $21 each = __________ 100 to 249 computers: _______ at $18 each = __________ 250 to 499 computers: _______ at $16 each = __________ 500 to 999 computers: _______ at $12 each = __________ 1,000 to 2,499 computers: _______ at $9 each = __________ 2,500 to 4,999 computers: _______ at $7 each = __________ 5,000 to 9,999 computers: _______ at $5 each = __________ 10,000+ computers: _______ at $4 each = __________ Handling and processing at $3.95: $3.95 New York Residents add 8.5% sales tax: __________ Total payment: __________ 4. Select payment option: __ Enclosed check or money order, number: _________________________ __ Credit card: ( ) VISA ( ) MasterCard ( ) American Express Cardholder name: _________________________________________ Card number: ________________________________________ Exp date: ___/___ Cardholder signature: __________________________________ Mail to: Forty Software, L.L.C. 14 Bond Street, Suite 250 Great Neck, NY 11021-2045 Fax to: (516) 773-4141 Call toll free: (877) 386-8833