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<HTML> <HEAD> <TITLE>ValueCalc 2.0 Order Form</TITLE> </HEAD> <BODY BGCOLOR="WHITE" TEXT="NAVY" LINK="BLUE" VLINK="PURPLE" ALINK="BLUE"> <!-- <CENTER> <H2> ValueCalc 2.0 Order Form </H2> </CENTER> --> <BLOCKQUOTE> Due to Internet security issues, at this time ValueCalc cannot be purchased online. To order, please fill out the form below, <B>print it out</B>, then mail or fax it to: </BLOCKQUOTE> <P ALIGN="CENTER"> <B> FinSoft, Inc., 6615 Cardinal Lane, Annandale, VA 22003<BR> <!-- <A HREF="mailto:[email protected]">[email protected]</A><BR> --> 703-354-0503 (phone), 703-354-7719 (fax) </B> </P> <BLOCKQUOTE>Telephone orders are also accepted.</BLOCKQUOTE> <HR> <FORM ACTION="xxxx"> <TABLE> <TR> <TD> <B>First name:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="FirstName" SIZE="35" ALIGN="TOP"> </TD> <TD> <B>Last name:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="LastName" SIZE="35" ALIGN="TOP"> </TD> </TR> <TR> <TD> <B>Title:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Title" SIZE="35" ALIGN="TOP"> </TD> <!-- </TR><TR> --> <TD> <B>Organization:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Organization" SIZE="35" ALIGN="TOP"> </TD> </TR> </TABLE> <TABLE> <TR> <TD> <B>Shipping address:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Address" SIZE="60" ALIGN="TOP"> </TD> </TR> <TR> <TD> </TD> <TD> <TABLE> <TR> <TD> <B>City:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="City" SIZE="20" ALIGN="TOP"> </TD> <TD> <B>State:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="State" SIZE="15" ALIGN="TOP"> </TD> <TD> <B>Zip:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Zip" SIZE="10" ALIGN="TOP"> </TD> </TR> <TR> <TD> <B>Country:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Country" SIZE="20" ALIGN="TOP" VALUE="USA"> </TD> </TR> </TABLE> </TD> </TR> </TABLE> <TABLE> <TR> <TD> <B>Daytime phone:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Phone" SIZE="15" ALIGN="TOP"> </TD> <TD> <B>Fax:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Fax" SIZE="15" ALIGN="TOP"> </TD> <TD> <B>Email:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Email" SIZE="40" ALIGN="TOP"> </TD> </TR> </TABLE> <HR> <B>Course Information (if applicable):</B> <TABLE> <TR> <TD WIDTH=20></TD> <TD> <TABLE> <TR> <TD> <B>Course title:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CourseTitle" SIZE="35" ALIGN="TOP"> </TD> <TD> <B>Course number:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CourseNumber" SIZE="25" ALIGN="TOP"> </TD> </TR> <TR> <TD> <B>Professor:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Professor" SIZE="35" ALIGN="TOP"> </TD> <TD> <B>Term:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="Term" SIZE="25" ALIGN="TOP"> </TD> </TR> </TABLE> </TD> </TR> </TABLE> <HR> <TABLE BORDER=3> <TR> <TD ALIGN=CENTER ROWSPAN=2> <B>Item</B> </TD> <TD ALIGN=CENTER ROWSPAN=2 COLSPAN=2> <B>Price</B> </TD> <TD ALIGN=CENTER COLSPAN=2> <B>Quantity</B> </TD> <TD ALIGN=CENTER ROWSPAN=2> <B>Total</B> </TD> </TR> <TR> <TD> <B>16-bit</B> </TD> <TD> <B>32-bit</B> </TD> </TR> <TR> <TD ROWSPAN=2> ValueCalc 2.0 single-user application with on-screen documentation </TD> <TD> Standard price </TD> <TD> $300 </TD> <TD> <INPUT TYPE="TEXT" NAME="Quant16Standard" SIZE="5" ALIGN="TOP"> </TD> <TD> <INPUT TYPE="TEXT" NAME="Quant32Standard" SIZE="5" ALIGN="TOP"> </TD> <TD> <INPUT TYPE="TEXT" NAME="TotalStandard" SIZE="5" ALIGN="TOP"> </TD> </TR> <TR> <TD> Academic price </TD> <TD> $75* </TD> <TD> <INPUT TYPE="TEXT" NAME="Quant16Academic" SIZE="5" ALIGN="TOP"> </TD> <TD> <INPUT TYPE="TEXT" NAME="Quant32Academic" SIZE="5" ALIGN="TOP"> </TD> <TD> <INPUT TYPE="TEXT" NAME="TotalAcademic" SIZE="5" ALIGN="TOP"> </TD> </TR> <TR> <TD> Printed manual </TD> <TD COLSPAN=2 ALIGN=CENTER> $25 </TD> <TD COLSPAN=2 ALIGN=CENTER> <INPUT TYPE="TEXT" NAME="QuantManual" SIZE="5" ALIGN="TOP"> </TD> <TD> <INPUT TYPE="TEXT" NAME="TotalManual" SIZE="5" ALIGN="TOP"> </TD> </TR> <TR> <TD COLSPAN=5> Virginia residents add 4.5% sales tax </TD> <TD> <INPUT TYPE="TEXT" NAME="VATax" SIZE="5" ALIGN="TOP"> </TD> </TR> <TR> <TD COLSPAN=5> Total due </TD> <TD> <INPUT TYPE="TEXT" NAME="TotalDue" SIZE="5" ALIGN="TOP"> </TD> </TR> </TABLE> <BR> * The academic price is $60 per copy for classroom use with a minimum purchase of 10 copies. Quoted prices reflect direct purchase discounts and are subject to change. Multi-user network and site license pricing available on request. <HR> <B>I prefer to pay by:</B> (Do not send cash)<BR> <INPUT TYPE="RADIO" NAME="PaymentType" VALUE="1" CHECKED="CHECKED" ALIGN="TOP"> <B>VISA </B> <INPUT TYPE="RADIO" NAME="PaymentType" VALUE="2" ALIGN="TOP"> <B>MasterCard </B> <INPUT TYPE="RADIO" NAME="PaymentType" VALUE="3" ALIGN="TOP"> <B>Check </B> <INPUT TYPE="RADIO" NAME="PaymentType" VALUE="4" ALIGN="TOP"> <B>Money Order </B> <TABLE> <TR> <TD> <B>Card number:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CardNumber" SIZE="40" ALIGN="TOP"> </TD> <TD> <B>Expiration date:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="ExpDate" SIZE="20" ALIGN="TOP"> </TD> </TR> </TABLE> <TABLE> <TR> <TD> <B>Billing address:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CardAddress" SIZE="60" ALIGN="TOP"> </TD> </TR> <TR> <TD> </TD> <TD> <TABLE> <TR> <TD> <B>City:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CardCity" SIZE="20" ALIGN="TOP"> </TD> <TD> <B>State:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CardState" SIZE="15" ALIGN="TOP"> </TD> <TD> <B>Zip:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CardZip" SIZE="10" ALIGN="TOP"> </TD> </TR> <TR> <TD> <B>Country:</B> </TD> <TD> <INPUT TYPE="TEXT" NAME="CardCountry" SIZE="20" ALIGN="TOP" VALUE="USA"> </TD> </TR> </TABLE> </TD> </TR> </TABLE> <HR> <B>Please enter any comments or additional information in the space below.</B> <TEXTAREA NAME="Comment form" ROWS="5" COLS="100"> </TEXTAREA> <HR> <CENTER> <!-- <INPUT TYPE="SUBMIT" ALIGN="TOP"> --> <INPUT TYPE="RESET" ALIGN="TOP"> </CENTER> </FORM> <HR> <CENTER><A HREF="mailto:[email protected]">[email protected]</A></CENTER> </BODY> </HTML>