FDChart ORDER FORM



(Prices effective as of: 12/15/2003)



Name ________________________________ Position ________________

Company _______________________________________________________

Address _______________________________________________________

City ___________________________ State _____ ZIP CODE _________

Phone (___) _____-____________ Fax ( ) _____-_____________

E-Mail ________________________________________________________
----------------------------------------------------------------

Check Enclosed ____ Purchase Order number #__________________


Item         Name                                    Quantity      Cost

#1205 FDCHART Utility - Mainframe Yearly License...... ____ @ 1950 ______

#1210 FDCHART Utility - DOS Version (Batch)........... ____ @ 129  ______

#1215 FDCHART Utility - Windows Version .............. ____ @ 129  ______

#1220 FDCHART Utility - DOS/Windows combination ...... ____ @ 199  ______

#1225 FDCHART Utility - DOS/Windows Site License...... ____ @ 2500 ______
(for up to 20 users)

#1239 FDCHART Utility - DOS/Windows Site License ..... ____ Call
(for more than 20 users)

                                                  Subtotal:     $ _______


(North Carolina residents, please add 7.75% sales tax)            _______

Shipping: Ground ($10), 2nd Day Air ($20), Next day ($25)         _______
   (for first copy; add $4 for each additional copy)

                                        Total Amount enclosed:   $ _______

SEND TO:                                      Call:   (704) 688-7555
Olivadoti Associates, Inc.

P.O. BOX 7283
Charlotte, NC    28241-7283


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