Order Form for the Product ARJ32

To:

ARJ Software, Inc.
PO Box 249
Norwood, MA 02062
Fax: 508-339-1070
E-mail for ordering questions: sejung2@aol.com

Ship To:

Name:
[Company]:
Reg. Name:
Address 1:
Address 2:
City:
State/Province: Postal Code: Country:
Phone:
Fax:
E-mail:

License To (if different from Ship to, resellers take note):

Name:
[Company]:
Reg. Name:
Address 1:
Address 2:
City:
State/Province: Postal Code: Country:

Bill To (if different from Ship To):

Name:
[Company]:
Address 1:
Address 2:
City:
State/Province: Postal Code: Country:

INTERNAL USE LICENSE for the use of ARJ32 (WinNT/9x/2K/XP/Me):

1 computer at $45
2 to 10 computers at $30 each
11 to 50 computers at $25 each
51 to 100 computers at $20 each
101 to 200 computers at $15 each
201 to 384 computers at $13 each
1 to 384 computers at above prices computers = $
UNLIMITED single location site license at $2500 = $
UNLIMITED multiple location site license at $5000 = $
**ONE software & documentation diskette Included FREE

EXTERNAL USE LICENSE for the use of ARJ32 (WinNT/9x/2K/XP/Me):

(This license is for using ARJ32 within an application on a non-company PC)
2 to 10 computers at $15 each
11 to 50 computers at $13 each
51 to 100 computers at $10 each
101 to 200 computers at $8 each
201 to 500 computers at $7 each
501 to 1000 computers at $6 each
2 to 1000 computers at above prices computers = $
**ONE software & documentation diskette Included FREE
**To license larger quantities, please contact us directly by email, fax, or mail.

You may choose one or both of the following additional options at an extra fee:
Duplicate software/documentation diskette at $5 each diskettes = $
ARJ-SECURITY ENVELOPE signature at $50 = $

List the exact name to be displayed by the ARJ security envelope.
The display will look like the following lines:

*** ARJ-SECURITY envelope signature:
*** R#nnnn
(Exact name or identifier, one line, 66 characters max)
TOTAL FEE FOR PRODUCTS = $
Massachusetts state residents add 5 percent sales tax = $
TOTAL ORDER = $
TOTAL ENCLOSED = $

Payment method:
Credit card (please fill in below)
Purchase Order # (order will be shipped with invoice)

NAME OF CREDIT CARD HOLDER:
TITLE:
CREDIT CARD: MasterCard Visa American Express Discover
CARD NUMBER:
EXPIRAT1ON DATE:
  1. How did you find out about ARJ32?
    Friend, co-worker
    BBS/WEB:
    Other:

  2. What do you like about ARJ32? (check as many as apply)
    Compression Multiple volumes
    Pricing Features
    Support REARJ
    Documentation UNARJ source code
    Other:
Comments/Questions:

TERMS:

Payment may be made by credit card, or by purchase order (net 30) for orders over $40.00.

Shipping is free via the United States Postal Service. Special Handling (e.g. air courier) will require an extra fee. Please contact us for details.

Please allow a few weeks for delivery.