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  1.                                    Working Model v2.0 Internet Order Form
  2.  
  3. ORDER YOUR COPY OF WORKING MODEL BY PHONE/FAX/MAIL.  SAVE TIME BY FAXING!!!!
  4.  
  5. TELEPHONE:  800-766-6615  (Call toll-free from 8-5 pacific time)
  6. FAX:  415-574-7541
  7. MAIL:            Knowledge Revolution
  8.                       66 Bovet Road, Suite 200
  9.                       San Mateo, CA  94402
  10.  
  11. Order Quantities
  12.  
  13.                                                                                                                                                              Units                                                                      Price                                                        
  14.  Working Model v2.0         MACINTOSH   ______   x  $1,495 = $ _________
  15.  Working Model v2.0         WINDOWS       ______   x  $1,495 = $ _________ 
  16.  Subtotal                                                                                               $ _________
  17.  Sales Tax (CA Residents only)                                                       $ _________
  18.  Shipping and Handling  (see below)                                             $ _________
  19.  TOTAL                                                                                                  $ _________
  20.  
  21. Order Information
  22.  
  23. Name_______________________________________________________
  24.  
  25. End user name (if different) ______________________________________
  26.  
  27. Title________________________________________________________
  28.  
  29. Organization_________________________________________________
  30.  
  31. Address_____________________________________________________
  32.  
  33. City/St/Zip____________________________________________________
  34.  
  35. Country______________________________________________________
  36.  
  37. Phone_________________________FAX___________________________
  38.  
  39. Payment by:
  40. Check (enclose)   ______  Visa/MasterCard   ______  Purchase Order (enclose/fax)  ______  
  41. Credit Card/P. O. Number _____________________  Exp. Date _____
  42.  
  43. BEFORE MAILING:  1. Be sure to sign and enclose your check drawn on a U.S. bank and in U.S. dollars, payable to Knowledge Revolution, or complete the credit card/purchase order information section (note: Do not send cash.)  2. U.S. customers, add $12.95 for shipping and handling; Canadian and Mexican customers, add $20.00; all other countries, add $30.00.  3. California residents add appropriate sales tax.  4. Please allow 2 to 4 weeks for delivery (1 week if faxed).  5. Education users call for quote.