F#: P03-HF91-FSO To order VUIMAGE PLUS(tm), please fill out this form and send along with check or money order (or fill out credit card information) to: Offe Enterprises (Attn: Orders) Tel:708-357-6679 1163 E. Ogden Avenue, Suite #705-131 BBS:708-357-6680 Naperville, IL 60563, USA Fax:708-357-6683 ------------------------------------------------------------------------- (PLEASE PRINT OR TYPE) End User Name (individual): _____________________________________________ Company (if applicable): ________________________________________________ Address to ship to: ________________________________________________ ________________________________________________ ________________________________________________ Phone: Day:___________________ Eve:_________________ Fax: _______________ Signature: _______________________ Date: ____________ Option 1, Single user: Disk + printed manual, pre-registered to End User above Option 2, Single PC: Disk + printed manual + registration card + case (Call for network license pricing, volume discounts etc.) --------------------------------------------------------------------------- QUANTITY DESCRIPTION UNIT PRICE TOTAL --------------------------------------------------------------------------- ____ VUIMAGE PLUS(tm) single user license-Option 1 US$40.00 * ________ ____ VUIMAGE PLUS(tm) single user license-Option 2 US$60.00 * ________ ____ _____________________________________________ ________ ________ Additional Taxes ________ Additional Shipping Charges (Intl/COD/Overnight) ________ __5.25 in __3.5 in __Either Total US $ ________ --------------------------------------------------------------------------- * Includes taxes & U.S.Mail shipping within USA. Add US $5.00 for outside USA. Check/Money Order enclosed for US $ ___________ I hereby authorize the above amount to be charged to my Mastercard__ VISA__ Account #___________________________, EXP: _____ Name on card: _________________________ Signed: __________________ --------------------------------------------------------------------------- VUIMAGE(tm) Version # (upper left corner of main menu): 3.45____ Other_____ Place obtained from : ______________________________________Tel:___________ Main Interest: GIF ___ TIFF ___ PCX ___ View ___ Print ___ Others ___ Type of Computer __________________ Type of Operating System ______________ Type of video card/monitor ________________________________________________ Additional Comments: ______________________________________________________ ___________________________________________________________________________