Clocker 2.3 Order Form ---------------------- ______ SINGLE COPIES x $24.95 per copy = _________ ______ USER SITE LICENSE (includes 1 disk/manual) = _________ Fees: 5 users $109.95, 10 users $199.95, 20 users $349.95, 50 users $699.95, 100 users $999.95 ______ ADDITIONAL MANUALS x $2.50 per copy = _________ (site licenses only) SHIPPING = _________ [ ] Standard mail service (U.S.): no charge [ ] Standard mail service (international): $ 2.50 [ ] Overnight delivery (48 states): $10.00 [ ] Overnight delivery (Alaska/Hawaii): $15.00 [ ] Overnight delivery (international): call [ ] Overnight, recipient billed: enter Federal Express acct no.: __________________________ SUBTOTAL = _________ TAXES CO residents add 3% sales tax = _________ Ft. Collins, CO residents add additional 3% city sales tax = _________ TOTAL DUE (U.S. funds) = _________ Billing Method: [ ] Payment Enclosed, payable to Winnovation [ ] P.O. attached [ ] VISA [ ] MASTERCARD [ ] DINERS CLUB [ ] CARTE BLANCHE For credit card orders: Name as appears on card: __________________________________ Acct. No.: _________________________________ Exp. ____/____ Signature: _________________________________ Disk Format: [ ] 3.5" 720K [ ] 5.25" 1.2MB Date: _______________ Name: ____________________________________________ Company:__________________________________________ Address: _________________________________________ _________________________________________ City/State/Zip: __________________________________ Telephone #: ____________________ FAX #: ____________________ E-mail address (optional): __________________________________ Where did you hear about and/or find Clocker? [ ] A friend [ ] USENET newsgroup [ ] An FTP/uucp site [ ] CompuServe [ ] America Online [ ] BBS: ____________ [ ] Advertisement from Winnovation [ ] Disk/CD Vendor [ ] Other: __________________________________ Return to: For credit card orders: FAX: (303) 226-8682 Winnovation E-mail: CompuServe 71774,605 P.O. Box 271071 Ft. Collins, CO 80527-1071 For Purchase Orders: USA FAX: (303) 226-8682