Ordering Information for FirmWorks's FCode Tokenizer ---------------------------------------------------- We accept orders by mail, email, phone or fax. Payment can be made by check or credit card (Visa/MasterCard/Diners Club/Carte Blanche/JCB; we do *not* accept American Express). If paying by credit card, be sure to include the card's expiration date and the billing address of the card if it is different from the shipping address. Please also include your phone number and email address, in case we have a question about your order. Normally, the product will be delivered in electronic form. It consists of a zip file sent as an email attachment. Alternatively, the zip file can be delivered on a diskette. Such shipment to US addresses is by Priority Mail and to all other destinations is by airmail. On request, we will also ship by overnight carrier for $5 handling plus our cost [specify carrier and rate (e.g. overnight/second day/economy) and include your phone number]. Order Form ---------- Shipping information -------------------- Name: _______________________________________________________________ Company: _______________________________________________________________ Address 1: _______________________________________________________________ Address 2: _______________________________________________________________ City: _____________________________________ State: ____ Zip: ________ Country: _______________________________________________________________ Phone: __________________ (In case we have questions about your order) Email: _______________________________________________________________ Billing information (if different from above) --------------------------------------------- Name: _______________________________________________________________ Company: _______________________________________________________________ Address 1: _______________________________________________________________ Address 2: _______________________________________________________________ City: _____________________________________ State: ____ Zip: ________ Country: _______________________________________________________________ Phone: __________________ (In case we have questions about your order) Email: _______________________________________________________________ FCode Tokenizer for processor/OS: ________________________________________ FCode Tokenizer for processor/OS: ________________________________________ _____ Copies @ $750.00 $ __________ Shipping and handling $ __________ Subtotal $ __________ Sales tax (8.25% for California residents) $ __________ Total (in U.S. dollars) $ __________ Shipping method --------------- __ email attachment to be sent to: ______________________________________ __ Standard __ Expedited (Specify carrier/rate __________________________) Payment method -------------- __ Visa __ MasterCard __ Diners Club __ Carte Blanche __ JCB __ Check/MO (Sorry. We do not accept American Express.) Card Number: _________________________________________ Expires: __________ Signature: _______________________________________________________________ Terms ----- 1. Prices, offerings and terms subject to change without notice. 2. Prices F.O.B. FirmWorks office. Risk of loss passes to customer at time of delivery to carrier.