Level5Software.net Order Form
Customer Information
Name ________________________________________________ Address 1 ________________________________________________ Address 2 ________________________________________________ City _________________________State_____Zip ___________ Phone (_____) _______-__________ ext_______ Fax (_____) _______-__________ e-mail ________________________________________________
Method of Payment  (Circle One)  Personal Check Money Order Bank Check * Prices are shown in US currency.
QTY Product Price (ea)* Total (Qty by Price) Source Code for Object Browser for PowerBuilder 10.5  CD Media $ 299.00 Source Code for Level5.VMS Version Manager CD Media $ 499.00 Source Code for pbFtpClient CD Media $ 699.00 Source Code for Object Browser,Level5.VMS and pbFtpClient CD Media $ 1,350.00 Total
Mail order form and attached method of payment to:
Level5Software.net c/o Michael Nardella  140 Norton Street Waterbury, CT 06708
Shipping Information
Orders will be shipped Priority Mail at no additional cost.  Orders are processed within 24 hours for bank checks and money orders.  Personal checks will need to clear prior to shipment ( 3 - 5 days ).
Limited Warranty
In no event shall Level5Software.net be liable for any damages whatsoever (including, without limitation, damages for loss of business profits, business interruption, loss of business information, or other pecuniary loss) arising out of use or inability to use the software products, even if advised of the possibility of such damages. Because some jurisdictions do not allow an exclusion or limitation of liability for consequential or incidental damages, the above limitation may not apply to you.
For Office Use Only
Date Recd:	Licence#	Key: