M I D I M A C H I N E V 3 . 0 b ORDER FORM (Date: 5/15/97 - if this is more than five months old, contact Andrew Malek or see if there is an updated form - addresses are indicated below). Congratulations for purchasing Midi Machine, your application for handling multimedia file playing and management in one convenient, easy-to-use interface. HOW TO ORDER THROUGH ALTUS SOFTWARE MARKETING: For your convenience, you may order by credit card in any of the following ways: 1. Online: http://www.axxis.com/cgi-bin/order-midimachine You can order over the World Wide Web using a secured form. All information sent this way is encrypted for your protection. This is the fastest way to order. Your order will be sent within minutes to the developer for fulfillment. 2. Toll Free at 1-888-AT-ALTUS (1-888-282-5887) Our hours are 9:00 a.m. to 12:00 midnight Mountain, Monday through Saturday. 3. Phone Voice-mail: 801-523-8221 When ordering by phone, please provide the information requested below. Orders placed by phone may take up to 48 hours to be verified and sent to the developer. 4. FAX: 801-576-5663 When ordering by FAX, please provide the information requested below. Orders placed by FAX may take up to 48 hours to be verified and sent to the developer. 5. E-mail: altus@axxis.com When ordering by e-mail, please provide the information requested below. Orders placed by e-mail may take up to 48 hours to be verified and sent to the developer. ORDER INFORMATION When ordering by phone, FAX, or e-mail, you must provide the following information: Your Name: Billing Address (the address your credit card bill is sent to) Street: City: State: Zipcode: Country: Mailing Address (if different than billing address) Street: City: State: Zipcode: Country: Home Phone Number: Work Phone Number: E-mail Address: Credit Card Information Type (Visa, Mastercard, American Express) Account Number: Expiration Date: Software to Order Title: Quantity: Total Dollar Amount: If faxed or e-mailed, please include the following language (and sign if faxed): I authorize AXXIS? Internet to bill my credit card and agree to pay the total amount according to my card issuer agreement. _________________________ _____________ Signature Date ------------------------------------------------------------------------- INSTRUCTIONS FOR REGISTERING BY MAIL: Fill out this order form. Send a money order in U.S.A. funds (do NOT send cash or a check!) for $25 to: Excel Progs c/o Andrew Malek RE: Midi Machine V3 Registration 434 Gallaher View Road Apt. 60 Knoxville, TN 37919 Your registration name/code will be mailed or e-mailed to you within two- three weeks along with instructions for entering the code. The registration code will remove the nag text as well as the 30 item per album limit. {STARTDOC - "Midi Machine V3.0 Order Form"} ------------------------------------------------------------------------------ Name: _______________________________________________________________________ E-Mail Address: ___________________________@_________________________________ Address: ____________________________________________________________________ City: _____________________________________________________ State: ________ Zip: ________________-_________ Phone Number: (_______)________-___________ **The cost is $25. Check the payment method:** Money Order: ______________ Check: _________________ ------------------------------------------------------------------------------ {ENDDOC} In case you need to contact Andrew Malek: Andrew Malek Internet : andrew.malek@idibbs.com admalek@usit.net CompuServe: 76023,1175 (76023.1175@compuserve.com) WWW : http://members.aol.com/excelprogs : http://idibbs.com/excel/ep.htm Please note that at this time we are unable to provide support via telephone. (5/15/97)