Base One ORDER FORM - for FAX, e-mail, or regular mail Date: Ordered By - First name: Last name: Company: Billing Address - Address: City: State: Zip: Country: Telephone: E-Mail: ------------------------------------------------------------------------ Method of Payment (check one) - Check/Money Order enclosed __ Credit Card - American Express __ MasterCard __ VISA __ Card #: Expiration date: Security code: (3 or 4 digit number) Name on Card - First name: Last name: Signature (for FAX): _____________________________ Date: ------------------------------------------------------------------------- PURCHASE PRODUCT ID QUANTITY UNIT PRICE TOTAL PRICE B1Framework site support license B1F-ES 1 $1,995 $1,995.00 SALES TAX (if NY): -------- GRAND TOTAL: $1,995.00 ========= ---------------------------------------------------------------------------- HOW TO PLACE AN ORDER: Replace sample order above (e.g. B1Framework site license) with your Base One software choice. Please fill in your addressing information and choose a payment method. Except for credit card orders, payment must be received in advance of delivery. For check/money order: Make payable to Base One International Corporation U.S. dollars drawn on a U.S. bank. You can FAX your completed order form to: 212-777-3917. Email to: info@boic.com or mail it (including check or money order) to: Base One International Corporation 217 Thompson Street, Suite 271 New York, NY 10012 PRODUCT & PRICING INFORMATION: PURCHASE: Product ID Price B1Framework site support license B1F-ES $1,995 BFC Enterprise site support license BFC-ES $1,995 Base/1 Number Class site support license BNC-S $995 Single developer licences for all three products can be obtained by purchasing a $29.95 subscription to Essential Software Library on www.contentgalaxy.com. SUBSCRIPTIONS: - Site license includes 12 months priority email support and upgrades TERMS: - Taxes and duties, where applicable, are to be borne by purchaser - Unconditional 30-day money back guarantee on all Base One software