Kermit 95 Bulk Right-to-Copy License Order Form

Use this form to order Kermit 95 software for Windows 95/98/ME/NT/2000/XP and OS/2 on CDROM with the right to make the desired number of copies. The minimum number of copies that can be ordered under this plan is 100. The online Kermit 95 manual and one copy of the printed technical manual are included. All prices are in US dollars. The different Kermit 95 versions (Windows 95/98/ME, Windows NT/2000/XP, and OS/2) can be mixed and matched in any combination.

Shipping is by Federal Express or other fast method, and is included in the price.


Return this form by e-mail to kermit-orders@columbia.edu,
or by fax to +1 (212) 662 6442,
or by post to:
  The Kermit Project
  Columbia University
  612 West 115th Street
  New York NY  10025-7799
  USA

PRICING SCHEDULE
                            Unit
    Quantity    Discount   Price
    100-249      84.38%	   10.00
    250-499      86.72%	    8.50
    500-999      88.75%     7.20
   1000-2499     90.63%	    6.00
   2500-4999     92.19%	    5.00
   5000-9999     93.75%	    4.00
  10000-19999    94.84%	    3.30
  20000-39999    95.23%	    3.05

KERMIT 95 COMMUNICATIONS SOFTWARE
                        
   Quantity    Unit Price

1. ________  x __________ =  . . . . . . . . . . . . . . . . . $_________

[   ] Government Agency or Nonprofit Institution:
2.  Check box and calculate 20% of Line 1: . . . . . . . . . . $_________

A. Net price, Line 1 minus Line 2: . . . . . . . . . . . . . . $_________

Company name as you would like it to appear in the registration screen, 31 characters maximum:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Now please fill out one of the following three payment sections and then fill out the shipping information at the end. For an explanation of the various order processing fees, CLICK HERE.


1. PAYMENT BY CREDIT CARD

NOTE: We can accept only MasterCard and Visa.

[ ] MasterCard [ ] Visa   AMOUNT OF YOUR PAYMENT . . . . . . . $_________

Cardholder's name: ______________________________________________________

Card Number _____________________________   Expiration Date _____________

Signature _______________________________   Today's Date ________________

2. PREPAYMENT BY CHECK
Purchase order number, if any: ___________________

Amount from Line A above . . . . . . . . . . . . .  $________

If your check is not drawn on a US bank,
please add a $65.00 check-cashing fee: . . . . . .  $________

TOTAL AMOUNT OF YOUR CHECK:  . . . . . . . . . . . . . . . . .  $________
Please enclose a check for the total amount payable in US dollars. Make your check payable to:
The Kermit Project - Columbia University
Note: The $65.00 collection fee on non-domestic checks is charged by Columbia University's bank, The Chase Manhattan Bank. We have no control over it. Address complaints to The Chase Manhattan Bank, 4 Chase MetroTech Center, 6th Floor, Brooklyn NY 11245, USA.


3. NON-PREPAID PURCHASE ORDERS
Company PO Number:__________________

B. Amount from Line A above:                       $________
C. Add $25 invoicing (billing) fee:                $________
D. If your check will not be drawn on a US bank,
      add $65 check-cashing fee:                   $________
E. If you will pay by wire transfer,
      add $25 bank fee:                            $________

TOTAL, Lines B, C, and D, and and E.
Please enclose your purchase order for this amount: . . . . . . $________

SHIPPING INFORMATION
Name:____________________________________________________________________

Organization:____________________________________________________________

Address:_________________________________________________________________

City:__________________________________ State/Province:__________________

ZIP or Postal Code: ___________________ Country: ________________________

E-mail: _______________________________ Telephone: ______________________


(Thank you!)