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  1. BoxTop Software, Inc.
  2. P.O. Box 2347
  3. Starkville, MS 39760 USA
  4.  
  5. 1-601-324-1800 - Voice
  6. 1-601-324-7352 - Fax
  7. <sales@boxtopsoft.com>
  8. <http://www.boxtopsoft.com>
  9.  
  10. Sales Contact:
  11. Cindy Johnson <cindy@boxtopsoft.com>
  12.  
  13. Please complete the information below and mail with payment (or Fax for Credit Card and
  14. Purchase Orders) to the address given above. 
  15.  
  16. =====================================================================
  17.  
  18. Customer Name: ____________________________________________
  19. Shipping Address: __________________________________________
  20.                                   __________________________________________
  21.                                   __________________________________________
  22. Email Address: ____________________________________________
  23. Phone Number: _____________________________________________
  24.  
  25. Product:                                                             Quantity:
  26.  
  27. PhotoGIF™ 2.0                                                     (   ) $45 each
  28. ProJPEG™ 2.0                                                     (   ) $35 each
  29. GIFmation 2.0                                        (   ) $49 each
  30.  
  31. PhotoGIF™/ProJPEG™  2.0 Bundle         (   ) $70 each
  32. PhotoGIF/ProJPEG/GIFmation 2.0 Bnd.     (   ) $109 each
  33.  
  34. PhotoGIF 2.0 site                                                     (   ) $800
  35. ProJPEG 2.0 site                                                       (   ) $600
  36. GIFmation 2.0 site                                                                  (   ) $800
  37.  
  38.  
  39. Payment Method: (   ) Check/Cash (   ) Credit Card  (   ) Purchase Order
  40.  
  41.  
  42. Credit Card Type: (   ) VISA  (   ) MASTERCARD
  43.  
  44. Credit Card Number #__________________________________Exp:______
  45. Name On Card (EXACTLY): ________________________________________
  46. Billing Address for Card: _________________________________________
  47.                                       _________________________________________
  48.                                       _________________________________________
  49.  
  50.  
  51. Shipping Method:
  52. (   ) Email --> PhotoGIF, ProJPEG, GIFmation          NO CHARGE
  53. (   ) No Frills US (postal)                                        $ 5.00
  54. (   ) No Frills international (postal)                         $ 8.00
  55. (   ) Next Day Air (US only)                                    $15.00
  56. (   ) Express international                                      $40.00
  57.  
  58. Total  Enclosed: $ _______________
  59.  
  60.  
  61. Signature: ________________________________ Date: ______________
  62.  
  63. =====================================================================
  64.  
  65. Document Published: 3/27/97
  66.  
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