ORDER FORM - SINGLE ORDER WinCLI V2.20 *********************************************************** For multiple copies or site licenses please call Eschalon Development Inc. at (604) 520-1543. *********************************************************** NAME/CONTACT_______________________________________________ COMPANY____________________________________________________ STREET_____________________________________________________ CITY_______________________________________________________ STATE_________________________ ZIP_____________________ TELEPHONE _______________ FAX _________________________ WinCLI license number.......................$25.00...______ B.C. residents add 6% sales tax............($ 1.50)..______ Canada residents add 7% GST................($ 1.75)..______ Shipping and handling.......................$ 3.00...______ ========== Total in Canadian funds on Canadian Bank.............______ Make checks or money-orders payable to: Eschalon Development Inc. Mail to: Eschalon Development Inc. 110-2 Renaissance Sq. New Westminster, BC V3M 6K3 Canada