LandWare's Windows CE Titles - Order Form

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    LandWare, Inc.           (201) 261-7944   Fax: (201) 261-7949
    P.O. Box 25                    Website: http://www.landware.com    
    Oradell, NJ 07649            Internet: sales@landware.com
    U.S.A.                           AOL: landware  CIS: 102404,3627
 
 Options:
     (1) Fill out and fax this order form to (201) 261-7949
  or (2) Call LandWare at (201) 347-0031 or (800) 526-3977
  or (3) Fill out and send via any of our email addresses above
  or (4) Fill out and mail to LandWare (check, M.O., credit card)
  or (5) Visit our website and use our secure online order form (fastest!)

 Name:	_________________________             Email:			
 Shipping
 Address:_____________________________        Phone:	

	 _____________________________

         _____________________________
						
Windows CE Device:   ___CASIO  ___Compaq  ___HP  ___Phillips

                     ___LG  ___Hitachi   Other___________
                     
LandWare Windows CE Titles:
  
 ____   QuickText                 $25.00
 
 ____ 	TakeNote  	          $39.00
 ____   Virtual Courier Lite      $79.00
 ____   Virtual Courier Enhanced $129.00      
 ____   AllPen Mobile Forms Db    $79.00
 ____   Financial Consultant      $39.00  
 ____   EncloseIt                 $29.00  
 
 ____   4MB RAM Card  $179.00 [we will preload any title(s) you order.]
 ____   8MB RAM Card  $229.00 [we will preload any title(s) you order.]
 
	                                              Sub Total: _________

	                    (NJ residents add 6% sales tax) Tax: _________

  S/H for U.S. orders:$4.50,    Intl.:$9      Shipping/handling: _________
 	    U.S. Priority: $6.50  Intl Pri.: $25.00

	                                            Grand Total: _________

___AMEX  ___Discover  ___MasterCard   ___VISA   ___First Virtual

 Account #                                Exp. Date	

 Comments:

                             THANK YOU!