Order Form - EDI LZSSLib v1.0 Registration ========================================== To place your order, call or fax Eschalon Development Inc. at (604) 520-1543 or leave an EMail message on Compuserve (76625,1320), USENET (Robert_Salesas@MindLink.bc.ca) or BIX (newdawn). ================================================================ NAME/CONTACT____________________________________________________ COMPANY_________________________________________________________ STREET__________________________________________________________ CITY_____________________________________ STATE______________ COUNTRY_________________________ ZIP_________________________ TELEPHONE ______________________ FAX _______________________ ================================================================ License number $30.00 Cdn. ($25.00 US) x ___ = $_______ B.C. residents 6% PST 1.80 Cdn. x ___ = $_______ Canada residents 7% GST 2.10 Cdn. x ___ = $_______ ---------------------------------------------------------------- Total: $_______ VISA #:* __________________________________ Exp. Date: ______ (*USD will be converted and charged in Canadian dollars) Name On Card (exactly): ________________________________________ Signature: _____________________________________________________ ================================================================ Or you may mail this form and a check or money-order payable to: Eschalon Development Inc. 110-2 Renaissance Square New Westminster, BC V3M 6K3 Canada ================================================================ Please call for information on site licenses or volume discounts: (604) 520-1543