UNICOM 1.2 Order Form Item Quantity Price (US) Total Single CPU License. ________ x $30 = _________ Disk 3.5 inch ________ x $5 = _________ Disk 5.25 inch ________ x $5 = _________ Current Documentation ________ x $10 = _________ Foreign Shipping (add $2.00 per disk, $8.00 per manual) _________ Billing Package ________ x $60** = _________ Includes License, 3.5 + 5.25 disks and Manual Total _________ Note ** This price is for purchase orders requiring billing (Order subject to acceptance by Data Graphics). What kind of modem (if any) do you have? _______________________ How would you like to pay for this? ____ Check ____ ++VISA ____ ++MasterCard ____ Bill ++ Credit Card Orders will be accepted starting July 5th 1989. Name : ________________________________ Address 1 : ________________________________ Address 2 : ________________________________ City/State/Zip : ________________________________ Phone : (_______) _____________________ !!! After July 5th, 1989 !!! For charge purchases, enter your card number, expiration date below: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp Date ___/___ Signature: ________________________________________ Please send to: Data Graphics 7735 46th Ave SW Seattle, WA 98136 Technical Support available via: CompuServe (EASYPLEX) 71631,464 (206) 932-8871