1  !"#$WS_FTP Professional Order Form ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Fax this form to: 617-676-5710 or mail to: Ipswitch, Inc., 81 Hartwell Avenue, Lexington, MA 02173 or call 1 (800) 793-4825 (U.S. and Canada) Check, money order, credit card, or company purchase order accepted. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Order Information All prices valid through 12/31/96 WS_FTP Professional Price/Unit Quantity Total 1 - 4 Units $37.50 ______ __________ 5 - 10 Units $35 .00 ______ __________ 10+ Units (See Ipswitch home page at www.ipswitch.com) Shipping/Handling (see below) ____________________ __________ TOTAL AMOUNT ($U.S.) __________ Windows (check one): __ 3.x, 95 or NT (Intel) / __ NT (Alpha) / __ NT (PowerPC) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Payment and Shipping Information Name: ________________________________________________________________ Title: _________________________________________________________________ Company: _____________________________________________________________ Address: _______________________________________________________________ City: ____________________________________ State/Province: ____________ Zip/Postal Code: ________________________ Country: ____________________________ E-Mail Address: _______________________________________________________ Daytime Phone: _________________________ Fax: _____________________________ Payment: ___ MasterCard ___ VISA ___ Check ___ Money Order ___ P.O. Credit Card Number: _____________________________ Expiration Date:______________ Purchase Order Number (orders over $100 only): __________________________________ Signature (for credit card orders) : ______________________________ Date: __________ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Shipping and Handling Charges*: U.S. Canada International U.S. Mail...................$ 6.00 U.S. Mail...................$ 7.50 U.S. Mail...................$29.00 FedEx Priority............$19.00 FedEx Priority............$24.00 FedEx Priority............$40.00 FedEx Standard.........$16.00 FedEx Standard.........$21.00 FedEx 2 day..............$10.00 FedEx 2 day..............$20.00 * Add $10.00 per order for shipments to Alaska or Hawaii. For each additional unit ordered, add $1.00 (U.S./Canada) or $2.00 (other countries). Shipping charges are subject to change at any time. gc_[WSO'Kx wso kgMcP_T[zW SOBKni Bpw s7oykgc_[W]ScOKni wsokgc _H[WWsSxOKni wsokgc_[WSO'Kni '7wGsxokgc_[W@ScOgJni gkwqrtnie a_[W@ScOgJnixvsMszs|ss qn@nBnrllllFlHlml<<<<<<moyy y/v1vyt{ttttt[t]tttttFtHt<<<<HyyyyGyIyyyyy@yBycyyyU y y y y y< yyyyGyIyyyyy@yBycyyyU y y y y y<f=/@8!898(U.S. and Canada) Chec  ard, or company purchase order accepted. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Order Information All prices valid through 12/31/96 WS_FTP Professional Price/Unit Quantity Total 1 - 4 Units  Arial__ __________ 5 - 10 Units $35 .00 ______ __________ 10+ Units (See Ipswitch home page at www.ipswitch.c