OpenWorlds Horizon Order Form

OpenWorlds Horizon Order Form

Extensible X3D/VRML 97 Browser

Please fill in the following Customer Information and Order Form and fax to:

OpenWorlds Inc., 215-382-0391
Contact Information – Please type or print clearly

COMPANY____________________________________________________________________________________

DEPARTMENT_________________________________________________________________________________

ENDUSER_____________________________________________________________________________________

STREET ADDRESS______________________________________________________________________________

CITY____________________________________________________STATE_______________ZIP______________

PHONE______________________________FAX________________________E-MAIL_______________________

TECHNICAL CONTACT_________________________________________________________________________

STREET ADDRESS______________________________________________________________________________

CITY____________________________________________________STATE_______________ZIP______________

PHONE_____________________________FAX_________________________E-MAIL_______________________

ACCOUNTS PAYABLE CONTACT________________________________________________________________

STREET ADDRESS______________________________________________________________________________

CITY____________________________________________________STATE_______________ZIP______________

PHONE_____________________________FAX_________________________E-MAIL_______________________

UPGRADES / INFORMATION SENT TO:

ENDUSER TECHNICAL CONTACT ACCOUNTS PAYABLE

SYSTEM ID (see http://www.openworlds.com/products/sales/machine_id.html for instructions):________________

OPERATING SYSTEM_______________________MACHINE MAKE/MODEL_____________________________

PROCESSOR_________________________________ LIBRARIES: N32 O32 Windows

VERSION: Performer Optimizer

FOR OPENWORLDS USE ONLY:

USER ID:______________________________________PASSWORD_____________________________________

Product Price List

Product	Product Code	Description	Unit Price
Horizon-SPX	OWHSPX2.5	Extensible X3D/VRML 97 browser for SGI Performer	$1495
Horizon-SZX	OWHSZX2.5	Extensible X3D/VRML 97 browser for SGI Optimizer	$1495
Horizon-WZX	OWHWZX2.5	Extensible X3D/VRML 97 browser for Windows Optimizer	$1495

Order Information

Quantity	Product Code/Description	Unit Price	Price






		SUBTOTAL 1
1	1YRSC / 1YR SUPPORT/UPGRADE CONTRACT + 30% OF SUBTOTAL 1	add 30% of above
		SUBTOTAL 2
1	EDUDISC / EDUCATIONAL DISCOUNT* - 20% OF SUBTOTAL 2	subtract 20% of above	( )
		SUBTOTAL 3
	SALES TAX 6% FOR PENNSYLVANIA RESIDENTS ONLY	add 6% of above, if applicable
	CD PACKAGING/SHIPPING CHARGE (IF APPLICABLE)**	$30.00
		TOTAL

*To qualify for educational discount, please fax us documentation of your not-for-profit status with this order form.

** Packaging/shipping charges apply if you would like us to ship you the product on CD. Product downloads over the internet require no extra charges.

Method of Payment: o Check or Money Order o Visa, Master Card, Novus, American Express

If paying by credit card: Card Number:

Expiration Date: /

mm / yy

Authorized Name (Print):

Authorized Signature:

To pay by check or money order, please make payment to the order of OpenWorlds Inc and mail to 3508 Market Street, Suite 203, ATTN: Accounts Receivable, Philadelphia, PA 19104-3311.

Please call 215-382-0390 or e-mail sales@openworlds.com with any questions.

THANK YOU FOR YOUR BUSINESS