ACEREADER PRO DELUXE ORDER FORM Windows Product ID: 54002, Macintosh Product ID: 54012, Sales ID: 123 IMPORTANT: Please specify version: ( )Windows or ( )Macintosh 01 computer - $79.95 02 to 05 computers - $62.80 per computer 06 to 10 computers - $56.60 per computer 11 to 15 computers - $53.26 per computer 16 to 20 computers - $51.01 per computer 21 to 25 computers - $49.33 per computer 26 to 30 computers - $48.00 per computer Unlimited Site License - $1,999.00 = $ ______ Delivery Charges (shipping/handling): - Download instructions sent via email - $0.00 - CD Only (US & Canada) - $7.00 - CD Only (International) - $9.00 - Boxed Product with Manual (US & Canada) - $19.95 - Boxed Product with Manual (International) - $21.95 NOTE: Manual is a physical copy of the = $ ______ Help (within Software). TOTAL PAYMENT = $ ______ US Dollars ------------------------------------------------------------------------- Your Name: ______________________________________________________________ E-Mail Address: _________________________________________________________ Phone Number: ___________________________________________________________ Mailing Address Street: ______________________________________________________________ City: ____________________________________ State: ____________________ Zipcode: ____________________ Country: _______________________________ Billing Address (if different than mailing address) Street: ______________________________________________________________ City: ____________________________________ State: ____________________ Zipcode: ____________________ Country: _______________________________ ------------------------------------------------------------------------- THE FOLLOWING INFORMATION IS NEEDED FOR PURCHASE ORDERS ONLY: Purchase Order Number: _______________________________________________ School or Organization: ______________________________________________ Note: Please provide signed purchase order along with this order form. ------------------------------------------------------------------------- THE FOLLOWING INFORMATION IS NEEDED FOR CREDIT CARD ORDERS ONLY: Type: ( )Visa, ( )Mastercard, ( )American Express, ( )________________ Account Number: ______________________________________________________ Expiration Date: _____________________________________________________ I authorize StepWare, Inc. to bill my credit card and agree to pay the total amount according to my card issuer agreement. ________________________________________________ ___________________ Signature Date Note: Credit Card statement may show charge from: StepWare, SetSystems, RegNet, or Digital River ------------------------------------------------------------------------- POSTAL MAIL (Credit Card and Purchase Orders): StepWare, Inc. 320 Dakota Drive Grand Junction, CO 81503 USA FAX (Credit Card and Purchase Orders): 1-970-243-9482 PHONE: For Pre-Sales and Product Information: U.S. (toll-free): 1-800-ACE-READ (1-800-223-7323) International: 1-970-243-9390 For Credit Card Orders: U.S. (toll-free): 1-800-301-4501 International: 1-970-243-9390 NOTE: Please specify product ID and sales ID (top of form) E-MAIL (Purchase Orders): sales@stepware.com -------------------------------------------------------------------------