H&S Technology, Inc.

dFtp version 1.0x Order Form

Prices effective April 1, 2000.

Prices subject to change without notice.

 

Single License for The dFtp Explorer

$10.95

x ______ =

+ $______

Texas residents add 7.25% Sales Tax

   

+ $______

       

Total payment

$______

 

Maintenance License call

Technical Support Plan call

Payment must be made by check or money order in US dollars (drawn on US bank) to:

H&S Technology, Inc.

P.O. Box 5152

Katy, TX 77491-5152

USA

Fax: (281) 395-8884

Tel: (281) 395-0345

To wire transfer, please email or call for bank information.

e-mail: hnstech@compuserve.com

(Payment must be received before we can process your order)

Name: _______________________________________

Company: _______________________________________

Address: _______________________________________

City: ________________________________________

State, Zip: _______________________________________

Country: _______________________________________

E-mail: _______________________________________

Phone: _______________________________________

For Credit Card Payments. Please fill out the following section.

Master Card [ ] Visa Card [ ] American Express [ ]

Card Number: __________ __________ __________ __________

Name on the Card (print) ____________________________________

Expires: ________/________ (MM/YY) Signature: __________________________