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Text File  |  1995-10-18  |  3KB  |  50 lines

  1.                           avanti techology, inc.
  2.                          (Federal ID: 74-2604086)
  3.  
  4.  
  5.                          U.S. End User Order Form
  6.  
  7. BILL TO:                                  SHIP TO:
  8.  
  9. Company:   ___________________________    Company:   ___________________________
  10. Attention: ___________________________    Attention: ___________________________
  11. P.O. Nbr.: ___________ (hardcopy req.)    Mail Stop: ___________________________
  12. Address:   ___________________________    Address:   ___________________________
  13.            ___________________________               ___________________________
  14. City/State:___________________________    City/State:___________________________
  15. Zip Code:  _______________                Zip Code:  _______________
  16.  
  17. Telephone: (_____)____________________    Telephone: (_____)____________________
  18. Facsimile: (_____)____________________    Facsimile: (_____)____________________
  19.  
  20. Special Shipping/Handling Instructions:_________________________________________
  21. ________________________________________________________________________________
  22.  
  23.  Qty. Product Description                                               Extended
  24.  ___  TaskMaster v1 Server License @ $395.00/File Server               $________
  25.  
  26.       Standard shipping/handling - add $5.00 (USPS Priority Mail)      $________
  27.       Overnight shipping/handling - add $20.00 (Federal Express Std.)  $________
  28.       COD shipping/handling - add $15.00 (Federal Express C.O.D.)      $________
  29.  
  30.       Sales Tax (Texas orders add 8.25% or exemption certificate copy) $________
  31.                                                                        =========
  32.       TOTAL DUE                                                        $________
  33.  
  34.       Terms:    Pre-paid, COD (company check accepted), American Express,
  35.                 or pre-approved Purchase Order.  Order must specify method
  36.                 of shipment and include appropriate fee.  The right to
  37.                 change terms, pricing, &/or discounts without advance
  38.                 notice applies, as well as the right to refuse any order -
  39.                 reconfirm before ordering.  Discounts for additional
  40.                 Servers may be available - call for a quote.
  41.  
  42.                 Note:  This form is for domestic U.S. End User
  43.                        orders.  Contact Avanti for information
  44.                        and requirements on international orders.
  45.  
  46.  
  47.                           avanti techology, inc.
  48.              13492 Research Blvd., #120-271, Austin, TX  78750  USA
  49.              800/638-1168      512/335-1168      512/335-7838 [fax]
  50.