MICRONITE SOFTWARE ORDER FORM Effective July 3, 2002 Print this Order Form and use one of the following methods for ordering Phone Your Order Mail Your Order ------------------- ------------------- To order toll-free, 7262 Lyne Bay Drive call (800) 936-ERGO Roseville, CA 95054 ------------------- ------------------- ORDERED BY (Please print or type): SHIP TO (Please print or type): -------------------------------------- --------------------------------------- Name Name -------------------------------------- --------------------------------------- Company Company -------------------------------------- --------------------------------------- Address Address -------------------------------------- --------------------------------------- City State Zip City State Zip -------------------------------------- --------------------------------------- Daytime Phone Daytime Phone -------------------------------------- --------------------------------------- List Your Item # Qty Item Description Price Cost Total ------ --- ------------------------------------------ -------- -------- ------- 01007 ___ ARMS, Standard Edition, Windows, Single $49.95 $49.95 01008 ___ ARMS, Standard Edition, Windows, 5-User $249.75 $219.00 01009 ___ ARMS, Standard Edition, Windows, 10-User $499.50 $375.00 02007 ___ ARMS, Deluxe Edition, Windows, Single $79.95 $79.95 02008 ___ ARMS, Deluxe Edition, Windows, 5-User $399.75 $349.00 02009 ___ ARMS, Deluxe Edition, Windows, 10-User $799.50 $599.00 ------ --- ------------------------------------------ -------- -------- ------- Subtotal ------- Shipping/Handling (See chart below) ------- Sales Tax (CA only) ------- GRAND TOTAL ======= Method of Payment: ------------------------------------------------------------------------------- o US bank check or money order payable to Micronite Inc. Please charge my: o VISA o MasterCard Card #: ________________________________ Exp. Date: ________ Signature: __________________________________________________ ------------------------------------------------------------------------------- Shipping and Handling (within the United States): --------------------------------------------------------- Ground : $5.00 first unit, $1.00 each additional item Next Day : $10.00 first unit, $2.00 each additional item Second Day: $8.00 first unit, $1.00 each additional item ---------------------------------------------------------