IDS Server 4.2 Order Form (Windows/Intel) Date of Order: ------------------ Purchaser's Name: --------------------------------------- Company Name: --------------------------------------- Address: --------------------------------------- --------------------------------------- --------------------------------------- Phone Number: -------------------- Fax Number: -------------------- Email Address: --------------------------------------- Quantity Unit Price Total Lite Version: (US)$995 ---------- ------------ Secure Version: (US)$1495 ---------- ------------ All orders will be distributed via the Internet. You will be given download instructions via email when your order has been processed. Floppy disk distributions are available for an extra (US)$25 handling fee. Payment Method: Credit Card Check Fund Transfer ($25 fee) --- --- --- To pay with credit card, please fill out the following information and fax this form to IDS Software at (909)396-6572. For your own protection, please do not send this form by insecure email. Credit Card: AMEX MasterCard VISA --- --- --- Card Number: --------------------------------------- Expiration Date: (Month/Year) -------------------- Card Holder Name: --------------------------------------- If you wish to pay by bank fund transfer, please submit this form via email to info @ idssoftware.com and request the IDS Software international wiring number. IDS Software also accepts checks drawn on U.S. banks. Please mail this form with payment to the address shown on page: http://www.idssoftware.com/company.html#Contact ** Thank you for choosing IDS Server **