Base One ORDER FORM - for FAX, e-mail or regular mail Date: Ordered By - Name: Company: Address: City: State: Zip: Country: Telephone: FAX: E-Mail: Ship To (if different) - Name: Company: Address: City: State: Zip: Country: ------------------------------------------------------------------------ Method of Payment (check one) - Check/Money Order enclosed: Wire to Base One's bank: Credit Card - American Express: MasterCard: VISA: Card #: Expiration date: Name on Card: Signature (for FAX): ______________________ Date: ------------------------------------------------------------------------- PURCHASE PRODUCT ID QUANTITY UNIT PRICE TOTAL PRICE BFC Professional BFC-PD 1 $895 $895.00 SHIPPING & HANDLING: $20.00 SALES TAX (if NY): -------- GRAND TOTAL: $915.00 ========= ---------------------------------------------------------------------------- HOW TO PLACE AN ORDER: Replace sample order above (e.g. BFC Professional) with your Base One software choice. Please fill in your addressing information and choose a payment method. Except for credit card orders, payment must be received in advance of shipping. For check/money order: Make payable to Base One International Corporation U.S. dollars drawn on a U.S. bank. You can FAX your completed order form to: 646-827-9166, or call us to place an order at 212-673-2511, or e-mail to: info@boic.com, or mail it (including check or money order) to: Base One International Corporation, 44 East 12th Street, Suite 3B New York, NY 10003 PRODUCT & PRICING INFORMATION: PURCHASE: Product ID Price BFC Professional single developer license BFC-PD $895 BFC Enterprise site license BFC-EU $1,995 Base/1 Number Class 1 developer license BNC-D $475 Base/1 Number Class site license BNC-S $995 SHIPPING & HANDLING for BFC: - Within the USA, shipping is $20. For other destinations, shipping is $45. - Number Class is sent by email attachment. SUBSCRIPTIONS: - 12 months priority email support, maintenance, and upgrades - 20% discount if next year's coverage is purchased before end of this year's TERMS: - Taxes and duties, where applicable, are to be borne by purchaser. - Unconditional 30-day money back guarantee on all Base One software.