HyperNiche Version 1 Order Form

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  |  [ ] Regular new user  $149 . . . . . . . . ________ |
  |                                                      |
  |  [ ] Student new user  $ 99 . . . . . . . . ________ |
  |______________________________________________________|
  |                                                      |
  |  Site or Network License (See examples)              |
  |                                                      |
  |  [ ] New . . . . . . . . . . $149 base . .  ________ |
  |      plus $50 per simultaneous user                  |
  |                       ______ Users x $50 =  ________ |
  |______________________________________________________|
  |                                                      |
  |      Shipping and handling. . . . . . . . .   $5.00  |
  |                                                      |
  |      International add $10.00 . . . . . . .  _______ |
  |                                                      |
  |   FedEx overnight USA / Canada $40 extra  .  _______ |
  |                                                      |
  |                                 Total . . . $_______ |
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   Payment Method:
   _         _               _                     _
  |_| Visa  |_| MasterCard  |_| American Express  |_|Discover
   _                                _
  |_| Purchase Order #___________  |_| Check payable to MjM Software

 Outside the USA: please use credit card or bank draft in US dollars

  Card #______________________________________ Exp.________________

  Email Address ___________________________________________________

 Please rush HyperNiche for Windows via mail to:

  Name: ___________________________________________________________

        ___________________________________________________________

  Address:_________________________________________________________

  City:__________________ State:_____ Zip (or postal code):________

  Country (if outside USA): _______________________________________

  Phone number (if requested FedEx): ______________________________
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  | Send order to:          MJM Software Design                 |
  |                            PO Box 129                       |
  |                      Gleneden Beach, OR 97388               |
  |                                                             |
  | For fastest service, fax this order form to: 1-541-764-3935 |
  |                                                             |
  | Or for credit card orders, call toll free  : 1-800-690-4499 |
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