GLOBAL SERIAL COMMUNICATIONS PROGRAM

Global Serial Communications Program Index

Credit Card Order Via Fax

Please fill out this form and

Fax to Global Energy

ORDER FORM

Global Serial Communications Program Order Form

** Currently Available as of October 20, 1997 ** via CD-ROM (includes full User Guide)

VISA, MasterCard, American Express, and Novus Discover Card

Please PRINT out this form, complete, and Fax to our order fax at : USA 608-238-6081

PACKAGE INCLUDES CD-ROM with Serial Program and Examples

Support by email is included. Dealer discounts available.

1. General Ordering Information:

Name:______________________________________

TEL: _______________________________________ FAX: _____________________________________

EMAIL:_____________________________________

2. Shipping Information:

Attn:_________________________________ Company:____________________________________

Address:____________________________________________________________________________

City:________________________________________ State:__________________________ ZIP:_______________

Country:_______________________________________

3. Ordering Information: PRICE EACH $49.95 PRIORITY MAIL: $10.00 AIR MAIL: $20.00 SECOND DAY UPS SERVICE (US ONLY): $20.00

Quantity Desired: Product Description: Price Each: Total Price:

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APPLICABLE SALES TAX (WI residents):

SHIPPING / HANDLING:

TOTAL ORDER PRICE:

NOTE: 1. Shipping options above. 2. Second Day Air Shipment is available for a fee of $20.00 3. Orders are for domestic USA and foreign AIR MAIL ONLY. 4. All sales are final. 5. Returns only for defective merchandise - and then exchanged. 6. Wisconsin Residents add sales tax.

4. Credit Card Information:

Credit Card (circle one) : VISA MC AMERICAN EXPRESS DISCOVER

Credit Card Number: ____________________________________________________________________

Expiration Date:_________________________________

Name as appears on Credit Card:_____________________________________________________

Billing Address of Credit Card:________________________________________________________________

City:___________________________________ State:_____________________________ ZIP:_____________

Fax to our sales office in USA: 608-238-6081

Thank you for your order. We will confirm your order via Email or

Fax. For more information via phone please call us at TEL: 608-238-6001 or email us at :

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