


       --- ModemBase Pro On-Line DataBase Management System ---

                               Order Form


You can order by calling the BBS directly, You will be able to download
your software the same day, a manual and disk will follow by mail.
We take VISA, MC, AMEX and DISCOVER.

    Registration/Ordering Information
    ---------------------------------

 MAILING ADDRESS :
-----------------
NetConnX
27475 Ynez Rd
Suite 302
Temecula, CA 92591

PHONE NUMBERS :
---------------
 Sales : (909)699-2216 (M-F 9am-5pm PST)
Office : (909)699-2216 (M-F 9am-5pm PST)
   BBS : (909)699-2212 (24 Hours, 7 Days/Week)
   FAX : (909)699-2216 (24 Hours, 7 Days/Week)
  Tech : (909)699-2216 (Voice technical support - M-F 9am-5pm PST)

V-Mail : (909)279-3053 (Voice mail system with information/messaging)
E-Mail : tgetty@netconnx.com

   REGISTRATION can be by CHECK, VISA, MASTERCARD, AMEX or DISCOVER CARD.

   If payment is made by check, a hold of 10 days will be placed on all
   orders until the check clears.  You may also order on-line via our
   NetConnX BBS at 909-699-2212.

   [  ]  Check Enclosed
   [  ]  Visa/MasterCard/AMEX
         Discover Card          Account Number : _________________________

                                Expiration Date: _____


                                Signature      : ___________________________




       --- ModemBase Pro On-Line DataBase Management System ---

                               Order Form




        Name    : ___________________________________________

        Company : ___________________________________________

        BBS Name: ___________________________________________

        Address : ___________________________________________

        City    : ________________  State: ___  Zip: ________

        Country : _______________________

        Telephone (voice) : (____) ____-_______

        Telephone (DATA)  : (____) ____-_______

        BBS Software used : _________________________________

                Comments:





		For every day left on your eval key you will receive 1 dollar off the price.
		Example: Download an EVAL Key today, then order, you will get 30 dollars off.

        MBPRO DBMS ..........................$149.00
        Applicable Discounts.................$______

        California residents *must* add
        7.75% sales tax......................$
                                              ------

        Shipping and Handling - USA..........$ FREE
        For all other countries..............$ 14.00


                                      TOTAL  $
                                              ------
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