VB ICON BROWSER SITE LICENSE Date: _____________________ Address: _________________________ Name: _____________________ _________________________ Company: _____________________ _________________________ Phone: _____________________ _________________________ Purchase Order Number (optional): _________________________ Where did you obtain VB Icon Browser v.2.20? _____________________ ================================================================== PLEASE INDICATE THE NUMBER OF COMPUTERS TO LICENSE FOR BELOW: 2 to 5 copies at $17.50 each _____ copies X $17.50 $ ______ 6 to 9 copies at $15.00 each _____ copies X $15.00 $ ______ 10 to 25 copies at $12.50 each _____ copies X $12.50 $ ______ 26 to 50 copies at $10.00 each _____ copies X $10.00 $ ______ 51 to 100 copies at $ 7.50 each _____ copies X $ 7.50 $ ______ 101 or more copies at $ 5.00 each _____ copies X $ 5.00 $ ______ (INCLUDES ONE PROGRAM DISK AND APPROPRIATE PRINTED LICENSE) ================================================================== EXTRA PROGRAM DISK(S) AT $5.00 EACH $ ______ ================================================================== PLEASE SPECIFY THE DISK FORMAT! SUBTOTAL $ ______ ___ 5 1/4" DD (360K) ___ 5 1/4" HD (1.2M) * S & H $ ______ ___ 3 1/2" DD (720K) ___ 3 1/2" HD (1.44M) ** TAX $ ______ TOTAL $ ______ Mail payment and order form to: VALLEY PROGRAMMING P.O. BOX 34085 SAN ANTONIO, TX 78265-4085 * Add $2.00 for normal shipping. Overseas shipping is $4.00. ** Texas residents, please add 8.25% sales tax. FREE UPGRADES (AS AVAILABLE) WILL BE PROVIDED QUARTERLY FOR A PERIOD OF ONE YEAR WITH PURCHASE OF SITE LICENSE!