| TO: | Date:______________________ |
| ARJ Software, Inc. | |
| P.O. Box 249 | |
| Norwood MA 02062 | Fax: 508-339-1070 |
| USA | Email: sejung2@aol.com |
FROM:
Name: ____________________________________________________________
[Company]: ________________________________________________________
Reg Name: _________________________________________________________
[Used to register stamp your software, 50 characters max]
Address: __________________________________________________________
| City: ________________________________ | State: ___________________ |
| Country: ____________________________ | Postal Code: _____________ |
| Phone: ____________________________ | Fax: ____________________ |
| Email: _____________________________________________ |
| 1 computer | at $45 ______ |
| 2 to 8 computers | at $30, nbr computers ___x 30 = ______ |
| 11 to 40 computers | at $25, nbr computers ___x 25 = ______ |
| 51 to 75 computers | at $20, nbr computers ___x 20 = ______ |
| 101 to 174 computers | at $15, nbr computers ___x 15 = ______ |
| 201 to 384 computers | at $13, nbr computers ___x 13 = ______ |
| UNLIMITED single location site license | at $2500 total fee = ______ |
| UNLIMITED multiple location site license | at $5000 total fee = ______ |
| ONE software & documentation diskette | Included FREE |
| 2 to 10 computers | at $15, nbr computers ___x 15 = ______ |
| 11 to 50 computers | at $13, nbr computers ___x 13 = ______ |
| 51 to 100 computers | at $10, nbr computers ___x 10 = ______ |
| 101 to 200 computers | at $8, nbr computers ___x 8 = ______ |
| 201 to 500 computers | at $7, nbr computers ___x 7 = ______ |
| 501 to 1000 computers | at $6, nbr computers ___x 6 = ______ |
| ONE software & documentation diskette | Included FREE |
| Duplicate software/documentation diskette | at $5, ___x 5 = ______ |
| ARJ-SECURITY ENVELOPE signature | at $50 additional fee= ______ |
List the exact name to be displayed by the ARJ-SECURITY envelope. PLEASE
NOTE THIS IS AN OPTIONAL FEATURE AND REQUIRES A $50 ADDITIONAL FEE (see
above).
The display will look like the following lines:
*** ARJ-SECURITY envelope signature:
*** _____________________________________________________________ R#nnnn
(Exact name or identifier, one line, 66 characters max)
Massachusetts state residents add 5 percent sales tax ______
TOTAL ORDER (Minimum credit card order is $10.00) ______
For payment by check NOT payable through a USA bank, add $40.00 ______
TOTAL ENCLOSED ______
[TOTAL ENCLOSED IN FOREIGN CURRENCY] ______
| ( )Cash | ( )Check | ( )Bank transfer |
| ( )Purchase Order | ( )Money order | ( )Credit card (fill out the form below) |
AUTHORIZED SIGNATURE (if needed): ______________________________________
TITLE: ______________________________________ DATE: _____________________
Name: _________________________________________________________
[Company name]: _________________________________________________________
Billing Address: _________________________________________________________
: _________________________________________________________
: _________________________________________________________
ZIP code / Postal code: ___________________
Payment by: ( ) MasterCard
( ) Visa
( ) American Express ( ) Discover
Card #: ______________________________________
Expiration Date: ______________
Signature of cardholder:_______________________________________________________
Payment may be made by a check NOT payable through a USA bank for amounts over $100.00 (USA). Please make the payment in USA funds and add a $40.00 surcharge to cover handling and bank transfer costs.
Payment may be made by credit card (MasterCard, Visa, American Express, or Discover).
Please allow one to three weeks for delivery depending upon your local
postal system.
| ( ) Compression | ( ) Multiple volumes |
| ( ) Pricing | ( ) Features |
| ( ) Support | ( ) REARJ |
| ( ) Documentation | ( ) UNARJ source code |
| ( ) Other ______________________________________________ |