Platinum Xpress Order Form (c) copyright 1988-2008 by Santronics Software, Inc. The fastest way to order is to call the toll-free sales line at 800-845-6944, 9am-7pm EST, fax to 305-248-0394, or fill out this form and mail it to: Santronics Software, Inc. 15600 SW 288 St., Suite 306 Homestead, FL 33033 ATTN: PXW Real name : ____________________________ Voice # : _______________ Company : ____________________________ Address : ____________________________ : ____________________________ City, State : ____________________________ Zip Code: _______________ BBS Name : ____________________________ BBS Phone : ____________________________ # of nodes: ____________ WC Serial # : __-____ Sysop Name : ______________________ Fido Address : _________________ (optional) Modem Flags : _____________________________ (For PX Private Network) Product: Special Price -------- ------------- Two line PX/WINS (v3.0) $ 99.00 ( ) Unlimited Line PX/WINS (v3.0) $199.00 ( ) PXW 2.0 to 3.0 2 line upgrade $ 45.00 ( ) PXW 2.0 to 3.0 Unlimited line upgrade $ 89.00 ( ) Shipping: --------- Single product FEDEX 2nd Day (USA)............. add $20.00 ( ) CAN/MEX, Overseas and multiple products FEDEX.. add call ( ) Subtotal............................................ ____________ (FL residents add %6.5 sales tax) .................. ____________ Total Purchase Amount .............................. ____________ Method of Payment ( ) Check (US$) ( ) Money Order ( ) Amex ( ) Visa ( ) Master Card Make Check/MO payable to Santronics Software Credit Card Number ___________________________ Signature ___________________________ Expiration Date __________