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\pard\tx1120\tx1960\tx2700\tx3420\tx4160\tx4880\tx5600\tx6300\tx7360\tx9200\f0\b\i0\ul0\qc\fs48 Order form for TransSys Dial-Up IP Software
\ql \

\b0\qc\fs28 5 May 1992\

\ql \
	
\ul Shipping Address
\ul0 					
\ul Billing Address
\ul0 \
	\
Name:	_________________________			__________________________\
\
Address:	_________________________			__________________________\
\
	_________________________			__________________________\
	\
City:	_________________________			__________________________\
\
State:	________  Zip: ___________    			State:	________  Zip: ___________  \
\
EMail:     ____________________________ 	Your order number:___________________\
\
Send order to:	Louis A. Mamakos		Tax-ID 577701379\
		14813 Ashford Place\
		Laurel, MD 20707-3771\
\

\fs26 Pick the category that corresponds to the number of licenses to be purchased on this order.  For example, 6 copies would be 6 x $125.  Educational licenses not subject to discount in these quantities.  For information on bulk or site licenses, contact me via email at  
\b info@TransSys.COM.  
\b0 Purchase orders accepted 
\i with a 10% surcharge 
\i0 for additional processing.  Otherwise, check, money order or COD are acceptable terms for payment..  Extra cost for COD and other than UPS ground shipping.
\fs28 \
\

\ul Item
\ul0 							
\ul Unit cost
\ul0 	
\ul Quantity
\ul0 	
\ul Total
\ul0 \
\
TransSys Dial-Up IP Software, 1-5 copies	$150.00    x	________   =	__________\
TransSys Dial-Up IP Software, 6-10 copies	$125.00    x	________   =	__________\
TransSys Dial-Up IP Software, 11-25 copies	$110.00    x	________   =	__________\
TransSys Dial-Up IP Software, 26- copies	
\i inquire via email for a quote
\i0 \
TransSys Dial-Up IP Software, educational\
pricing for students, faculty and staff.  (
\fs26 Proof of\
registration or employment must be included, such\
as a copy of a current ID or registration card.\
Purchase orders not accepted for educational\
pricing.)
\fs28 							$75.00    x	________   =	__________\
\
Add 10% if using a Purchase Order requiring an invoice:		__________\
\
Total:										__________\

}
