RVORDER.TXT RptView (Report View) Version 6 Order Form 02/23/2003 Date of Order:__________________* Contact Name:__________________________________________________* Company:_______________________________________________________* Address:_______________________________________________________* City:______________________________* State:____________________* Postal Code:__________________* Country:_______________________* Telephone ______________________* Fax:_________________________* (Include country code if outside the United States) Email Id: _____________________________________________________* Current Registration Number __________________________________ (Required for Upgrade) Purchase Order Number: __________________________ Credit Card: MasterCard ____ Visa ____ American Express ____ Card # _____________________________________ Exp Date ________ Ship Via*: ______Electronic ______Ground/Air * Required Information (Check www.drecsoftware.com or contact DREC Software directly for latest pricing before ordering) ________________________________________________________________ Type of License | | | (Unless specified all | | | licenses are for |Full Price US$/| | internal use only) |Upgrade Price | Qty |Total Price US$ ------------------------+---------------+-------+--------------- Single User | F US$95.00 | | | U US$55.00 | | ________________________|_______________|_______|_______________ 10 User | F US$575.00 | | | U US$320.00 | | ________________________|_______________|_______|_______________ 50 User | F US$925.00 | | | U US$510.00 | | ________________________|_______________|_______|_______________ 100 User | F US$1,425.00 | | | U US$ 780.00 | | ________________________|_______________|_______|_______________ Single Server, | | | Unlimited User | F US$1,725.00 | | | U US$ 950.00 | | ________________________|_______________|_______|_______________ Custom License Type | | | (Specify) | | | | | | ________________________|_______________|_______|_______________ Custom Install EXE | US$100.00 | | ________________________|_______________|_______|_______________ | | | | | | ________________________|_______________|_______|_______________ First six months of | | | updates | ****FREE**** | | ****FREE**** ________________________|_______________|_______|_______________ Email and Phone | | | Support | ****FREE**** | | ****FREE**** ________________________|_______________|_______|_______________ United States | | | Electronic Delivery | | | of License Agreement | | | and Invoice by Fax | ****FREE**** | | ****FREE**** Product by Email | | | ________________________|_______________|_______|_______________ United States | | | Ground/Air Delivery | US$15.00 | | (Single Disk) | | | ________________________|_______________|_______|_______________ International | | | Electronic Delivery | US$10.00 | | ________________________|_______________|_______|_______________ International | | | Ground/Air Delivery | US$45.00 | | (Single Disk) | | | ________________________|_______________|_______|_______________ | | | | | | ========================================|=======|=============== TOTAL ORDER | | ________________________________________|_______|_______________ Multiple Server and Company-Wide Internal Use Licenses available. Distribution Licenses available. (Use RVRFQ.WRI to request a quote.) Send Order Form with Check or Credit Card Number To: DREC Software 1633 West A St Phone 1-402-890-7760 Lincoln NE Fax 1-402-477-7964 USA 68522-1259 Email drecsftwr@aol.com