NetBak 2.5 Order Form

We accept company or personal checks and money orders only.
Purchase Orders - You MUST include payment with P.O. or we can not ship.

You can use this form to order by MAIL. 

Mail to:  D & D Software Inc.
          809 Jackson Avenue
          Lindenhurst, NY 11757-1904 USA


                                                    # COPIES          TOTAL
           Single Server Registration   $40.00  x   ________  =  $ ________
           Upgrade                       $5.00  x   ________  =  $ ________


           Multiserver Registration    $100.00  x   ________  =  $ ________
            (up to 8 servers on internetwork)
           Upgrade                      $10.00  x   ________  =  $ ________

New York Residents, please add appropriate Sales Tax             $ ________

                          Total (U.S. Funds drawn on U.S. Bank)  $ 
                                                                   ========

If this is an upgrade, your current serial number is _______________

Disk size (5 1/4 supplied if no preference indicated):
                                                  5 1/4:_____   3 1/2:_____

     Name: ________________________________________________________________

  Company: ________________________________________________________________

  Address: ________________________________________________________________

           ________________________________________________________________

           ________________________________________________________________

Voice Phone: _________________________          Fax Phone:_________________


Netware Version ______________________


Where did you obtain your copy of NetBak?

___ Bulletin Board   ___ Dealer   ___ Other, describe______________________

Name of source ____________________________________________________________


Prices and terms subject to change without notice.