Heavy Cat Multimedia Order Form Instructions: ------------------------- Print and complete the form if possible. If no printer is available, please include all the information requested below in a letter included with your order. Multidex Order Form Name________________________Company___________________________ Street_______________________________City_____________________ State____________Zip________Country___________________________ Telephone________________E-Mail Address_______________________ Signature_________________________________________ From where did you receive Sounddex?________________________ 3.5" disks: Cost: #of copies Total Individual Use License: Multidex $19.00 ea. x _______ = $______ Multiple Use or Network Licenses: 2 to 10 computers $18.00 ea. x _______ = +$______ 11 to 50 computers $17.00 ea. x _______ = +$______ 51 to 100 computers $15.00 ea. x _______ = +$______ Write for prices for more than 100 computers California Residents add 7.75% sales tax +$______ Shipping/Handling (U.S. only) +$2.00 Shipping/Handling (Outside U.S.) +$15.00 Total = $______ Make checks or money orders payable to Heavy Cat Multimedia Mail to: Heavy Cat Multimedia P.O. Box 9059-102 Mission Viejo, CA. 92690 ATTN: Multidex Allow 2-3 weeks for delivery.