                          Wanvas Order Form (1.10)

Name (Please Print) ___________________________________________________
Company _______________________________________________________________
Address _______________________________________________________________
City ___________________________ State/Province ______ ZIP ____________
Country (if not USA) ___________________ Phone/Fax ____________________
E-Mail Address ________________________________________________________
                 
Quantity:   _____________  x $10.00 per copy (No disk(s))

            _____________  x $20.00 per copy (3.5 disk(s) & shipping.)

            _____________  x $750.00 site license(s)

            _____________  x $3500.00 worldwide license

= Subtotal:$_____________

+ Tax:     $_____________  WA residents must include state sales tax.

= Total:   $_____________  (all prices US Dollars) 



Please send check or money order payable to "Ember Software" to:
    Ember Software
    PO Box 514
    Richland, WA 99352  (USA)

Include an E-Mail address or Fax number, and your registration code will be 
sent when your order is received.
Otherwise allow four to six weeks for delivery of disks or registration codes.  


If you feel like giving some more information...
Where did you find Wanvas?
[  ]  Internet. Site: __________________________________________
[  ]  BBS. Name: _______________________________________________
[  ]  Service (America Online, etc): ___________________________
[  ]  Somebody gave it to me.
[  ]  Other: ___________________________________________________
[  ]  Unknown.

Would you purchase Wanvas if it were available for other platforms
(Check all that apply):
[  ]  Macintosh
[  ]  Unix. Platform(s): _______________________________________
[  ]  Other: ___________________________________________________

