RiskWin V2.0 Order Form ======================= Order Your Copy of RiskWin Version 2.0 Now: ------------------------------------------- RiskWin currently ships as Release Version 2.0 at the rate of $10,000 USD per single-user license. Each RiskWin license includes 30 days of installation support. Product support must be purchased via a maintenance agreement. All orders will be verified by phone before shipping. Mail or e-mail in your order using information shown at bottom of page. (Canadian orders subject to GST. Ontario orders must add PST.) Payment can be made by Credit Card, Certified Check or Money Order: ------------------------------------------------------------------- Please complete the order, shipping and registration information requested on the next page and then contact us via mail or e-mail or e-mail. We will confirm with you the order and the total cost. If paying by credit card, please also complete and sign the credit card information on the order form and mail it to us. Discount Schedule: ------------------ For orders of more than 5 copies please contact us for the current discount schedule. Shipping and Registration Information: -------------------------------------- The shipping information is to identify the location and the person that is to receive the shipment of the RiskWin software product. The registration information is to identify the registered licensee of the RiskWin software product. Only the registered licensee is eligible for subsequent discounts on additional new and upgrade orders of RiskWin. We recommend that all orders be registered in the name of the company that is underwriting the purchase of the RiskWin software license. The e-mail information is important to be notified of availability of free updates. Confidentiality: ---------------- All client contact information will be kept strictly for internal purposes and will not be sold in any form. ====================================================================== RiskWin V2.0 Order Form ======================= Order Information: (All amounts in US dollars.) ------------------ Copies (at $ 10,000 USD each) = ------- ----------------------------- Canadian Orders add 7% GST ----------------------------- Ontario Orders add 8% PST ----------------------------- Subtotal ----------------------------- Shipping & Handling (if known) ----------------------------- Total Charge ----------------------------- Credit Card to charge order to: Mastercard [ ] Visa [ ] ------------------------------- Card Number ---------------------------------------------- Expiry Date ---------------------------------------------- Card Holder Name ---------------------------------------------- Card Billing Address ---------------------------------------------- ---------------------------------------------- ---------------------------------------------- Signature ---------------------------------------------- Shipping Information: --------------------- Name ---------------------------------------------- Company Name ---------------------------------------------- Address ---------------------------------------------- City & Country ---------------------------------------------- Postal Code ---------------------------------------------- Telephone No. ---------------------------------------------- Fax No. ---------------------------------------------- E-Mail Address ---------------------------------------------- Registration Information: [ If left blank will use Company Name and ------------------------- Address above.] Registered Licensee ---------------------------------------------- Address ---------------------------------------------- City & Country ---------------------------------------------- Postal Code ---------------------------------------------- Telephone No. ---------------------------------------------- Fax No. ---------------------------------------------- E-Mail Address ---------------------------------------------- Contact us: ----------- ADDRESS: 10 Edgecliffe Golfway, Suite 201 Toronto, Ontario M3C 3A3 CANADA E-MAIL: orders@riskwin.com WEB: www.ascendant-tech.com