TO ORDER: CALL TOLL-FREE 1-800-707-5148 ======================================= INVOICE/REGISTRATION FORM PURGE - VERSION 2.22 Enter the following: a) Total number of copies = ___ b) Enter number of copies (2 OR LESS) ___ x $69.95 = _____ c) Enter number of copies (MORE THAN 2) ___ x $19.95 = _____ d) Subtotal = _____ e) KY residents: add 6% KY sales tax = _____ f) Enter S/H = $3.00 g) Total Due = _____ Please make your check or money order payable to: Blue Ridge Software, Inc. Non-US customers may pay in cash or certified bank draft in U.S. dollars. Mail to: Blue Ridge Software, Inc. 235 Southport Drive Lexington, KY 40503 Credit Card Customers: ---------------------- VISA / Mastercard / AMEX (circle one) Card number: ____________________________________ Expiration date: ________ Signature: _____________________________________ (Must be signed) Shipping Address: ----------------- Name:____________________________________________________________ Company name:____________________________________________________ Address:_________________________________________________________ City/State/Zip/Country:__________________________________________ Your order will be shipped within a few days of the receipt of this form. Special shipping conditions can be arranged if an order is placed by phone for PO customers. THANKS FOR YOUR ORDER!