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AVALabel™ 2.x Order Form

    Please include this form along with your payment.

    Purchaser information:

    Name:              
    Title:             
    Company Name:      
    Address line 1:    
    Address line 2:    
    City:               State/Province:    
    Postal Code:        Country:           
    Phone:              Ext. 
    Fax:               
    Your email address:

    Product and Quantity Ordered

     Single License of AVALabel 2.x at $119.00 each
     5 License Pack of AVALabel 2.x at $550.00 each
     10 License Pack of AVALabel 2.x at $1,000.00 each
    If you are interested in an unlimited site license, please call: (407) 657-1250 
    or email us at marketing@maplogic.com

    Amount Paid

    Software Total:
    Tax:            (Florida residents include 6.5% sales tax)
                   _________________
    Total Payment: 
    
    Payments must be made out to: MapLogic Corporation.  Payments must be in 
    US Currency and drawn on a US bank or financial institution.
    
    Print this form and mail it along with your payment to:
    
    Marketing Department
    MapLogic Corporation
    330 West Canton Avenue
    Winter Park, FL  32789