---Use this form to order NeoSoft Corp. Products--- 1. Enter your name, shipping address and telephone number below: Name: ______________________________________________________ Company: ______________________________________________________ Address: ______________________________________________________ ______________________________________________________ City: _________________________ State: _____ Zip: __________ Country: _______________________ Telephone: ___________________ I heard about these products from: ____________________________ 2. Indicate number of units and shipping method below: WINDOWS: ___ NeoPaint v4.6 (includes CD) $59.95 ea $__________ ___ NeoBook v5 (includes CD & user's manual) $199.95 ea $__________ ___ NeoBook v5 Competitive Upgrade* $149.95 ea $__________ QuikMenu for Windows: ___ Basic (includes CD & user's manual) $45.00 ea $__________ ___ Pro (includes CD & user's manual) $69.95 ea $__________ DOS: ___ NeoBook Pro for DOS $89.95 ea $__________ ___ NeoBook Basic for DOS $45.00 ea $__________ ___ QuikMenu III for DOS $35.00 ea $__________ ___ NeoPaint for DOS $40.00 ea $__________ + Shipping: United States: $5 Priority Mail, $15 FedEx Canada: $7 Air Mail Mexico: $7 Air Mail Other Nations: $12 Air Mail $__________ Note: FedEx cannot deliver to PO Boxes ========== Call for network/site license and dealer info. Total: $__________ * Competitive upgrade requires proof of purchase of a similar product, such as ToolBook, Click & Create, Illuminatus, etc. Acceptable proof of purchase: title page of manual or end panel (showing product name) from box. 3. Indicate payment method below: __ I've enclosed a check or money order payable to NeoSoft Corp. (must be drawn in U.S. funds on a U.S. bank) __ VISA __ MasterCard __ Discover __ American Express Card #: _____________________________ Expires: __________ Card Holder's Signature: ________________________________ Credit Card Billing Address:_____________________________ _________________________________________________________ ---------------------------------------------------------------------------- Mail form to: Fax form to: NeoSoft Corp. (541) 388-8221 (24 hours) P.O. Box 5667 Or telephone: BEND OR 97708-5667 (541) 389-5489 (weekdays 9AM-5PM PST) USA You may also send this information via e-mail to sales@neosoftware.com If you prefer not to send your credit card number over the net, please include your phone number and the other information, and our the sales department will confirm your payment info by telephone.