Order Form - EDI Install for Windows v1.3 ========================================= To place your order, call or fax Eschalon Development Inc. at (604) 520-1543 or leave an EMail message on Compuserve (76625,1320) or USENET (Robert_Salesas@MindLink.bc.ca). NAME/CONTACT____________________________________________________ COMPANY_________________________________________________________ STREET__________________________________________________________ CITY_____________________________________ STATE______________ COUNTRY_________________________ ZIP_________________________ TELEPHONE ______________________ FAX _______________________ ================================================================ License number $50.00 Cdn. ($43.00 US) x ___ = $_______ B.C. residents 6% PST 3.00 Cdn. x ___ = $_______ Canada residents 7% GST 3.50 Cdn. x ___ = $_______ 3½" Disk, S. & H.* 3.00 Cdn. (2.00 US) x ___ = $_______ ---------------------------------------------------------------- Total: $_______ *Overseas orders please include an extra $5.00 US for S & H. VISA #:* __________________________________ Exp. Date: ______ (*USD will be converted and charged in Canadian dollars) Name On Card (exactly): ________________________________________ Signature: _____________________________________________________ PLEASE NOTE: We only accept VISA. Not Master Card, American Express, or Discover. We also do not accept unsolicited POs or overseas checks. Please do not send such orders as we will not be able to process them. ================================================================ 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 Overseas orders please include an INTERNATIONAL MONEY ORDER, not a check. ================================================================ Please call for information on site licenses or volume discounts: (604) 520-1543