UNICOM 3.0g Order Form Prices listed are for prepaid orders in U.S. funds. Please add shipping below. Item Quantity Price Amount New User Package: UNICOM 3.1 Single CPU License, Manual and Disk (3.5__ or 5.25___) ________ $69.95 _______ Shipping (U.S. and Canada) ________ $5.00 _______ Foreign Shipping ________ $10.00 _______ Purchase Orders Requiring Billing, add $20.00 _______ Washington State Residents Only Add 8.2% tax _______ Select Method of Payment: TOTAL _______ VISA ____ MasterCard ____ *Check ____ P.O. ____ * Checks drawn on Non-U.S. banks or in Non U.S funds cannot be accepted. International Money orders are ok. Name: ___________________________________________ Company: ___________________________________________ Address 1 ___________________________________________ Address 2 ___________________________________________ City ________________________ State _______ ZIP ___________ Country ___________________________________________ Phone ( ) _________ - _________________ For charge purchases, enter your card number and expiration date below: ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ Expiration Date ___/___ Signature: ______________________________ Did you 1st learn about Unicom from a BBS, Book or Magazine? Y___ N___ If so, describe: _________________________ BBS phone:( )_ _ _ - _ _ _ _ Mail or Fax this form with payment to: Data Graphics P.O. Box 58517 Renton, WA. 98058 Fax: (206)432-8673 To order by phone using your VISA or MasterCard, call (206)432-1201 Weekdays 9am-5pm Pacific Time. Please allow 3 weeks for delivery