**PropMan^TM^ 2000 Order Form**

+--------------------------------+----------+--------+-----+----------+
| Description                    | Unit     | Qu     |     | Price    |
|                                | Pri      | antity |     |          |
|                                | ce**\*** |        |     |          |
|                                |          |        |     |          |
|                                | (USD)    |        |     |          |
+--------------------------------+----------+--------+-----+----------+
| **PropMan 2000 CD ROM**        | \$99.00  |        |     |          |
|                                |          |        |     |          |
| P/N 984-0605-001               |          |        |     |          |
+--------------------------------+----------+--------+-----+----------+
| **Signal-to-Noise Predictions  | \$60.00  |        |     |          |
| Using VOACAP User's Guide**    |          |        |     |          |
|                                |          |        |     |          |
| P/N 523-0780-552               |          |        |     |          |
+--------------------------------+----------+--------+-----+----------+
|                                | ##### S  |        |     |          |
|                                | hipping  |        |     |          |
|                                | & Handli |        |     |          |
|                                | ng Charg |        |     |          |
|                                | es -- Ch |        |     |          |
|                                | oose One |        |     |          |
+--------------------------------+----------+--------+-----+----------+
|                                | Fed Ex   |        | \   |          |
|                                | Next Day |        | $20 |          |
|                                | (U.S.    |        | .00 |          |
|                                | Only)    |        |     |          |
|                                |          |        | \$5 |          |
|                                | U.S. &   |        | .00 |          |
|                                | Canada   |        |     |          |
|                                | Parcel   |        | \   |          |
|                                | Post     |        | $10 |          |
|                                |          |        | .00 |          |
|                                | Inter    |        |     |          |
|                                | national |        |     |          |
|                                | Parcel   |        |     |          |
|                                | Post     |        |     |          |
+--------------------------------+----------+--------+-----+----------+
|                                | For      |        |     |          |
|                                | orders   |        |     |          |
|                                | e        |        |     |          |
|                                | xceeding |        |     |          |
|                                | one      |        |     |          |
|                                | manual,  |        |     |          |
|                                | call     |        |     |          |
|                                |          |        |     |          |
|                                | for      |        |     |          |
|                                | shipping |        |     |          |
|                                | &        |        |     |          |
|                                | handling |        |     |          |
|                                | charges  |        |     |          |
+--------------------------------+----------+--------+-----+----------+
|                                | *        |        |     |          |
|                                | *TOTAL** |        |     |          |
+--------------------------------+----------+--------+-----+----------+

**STATE & LOCAL SALES TAX APPLIES, OR**

PROVIDE TAX EXEMPT NUMBER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\* Prices subject to change without notice

\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_
\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_
\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_

**SOLD TO:** **DELIVER TO:** (if different than Sold To):

Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Company:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Company:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Street Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Street Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City, State, Zip
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
City, State, Zip:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Country:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Country:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Phone:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Phone:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_
\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_
\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_

+-----------------------------------------------------------------------+
| **PAYMENT METHOD:**                                                   |
|                                                                       |
| Check \_\_\_\_\_\_ Money Order \_\_\_\_\_\_                           |
|                                                                       |
| Credit Card: Mastercard \_\_\_\_\_ VISA \_\_\_\_\_\_ American Express |
| \_\_\_\_\_\_                                                          |
|                                                                       |
| Credit Card Number                                                    |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\                     |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Expiration Date \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_      |
|                                                                       |
| Authorized Signature (shown on card)                                  |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\                                           |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
+-----------------------------------------------------------------------+

\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_
\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_
\_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_

![](media/image1.jpeg){width="1.5in" height="0.48819444444444443in"}

  -------------------------------------------------------- ----------------------------------------------------
  **Date Ordered:                                          **Invoice:
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**             \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

  **Purchase Order No.                                     **PropManSerial No:
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**                     \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

  **SAP No:                                                **Date Shipped
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
  -------------------------------------------------------- ----------------------------------------------------

**PropMan^TM^ 2000 Order Form**

+----------------------------+----------+--------------+--------------+
| Description                | Unit     | Quantity     | Price        |
|                            | Pri      |              |              |
|                            | ce**\*** |              |              |
|                            |          |              |              |
|                            | (USD)    |              |              |
+----------------------------+----------+--------------+--------------+
| **PropMan 2000 CD ROM**    | \$99.00  |              |              |
|                            |          |              |              |
| P/N 984-0605-001           |          |              |              |
+----------------------------+----------+--------------+--------------+
| **Signal-to-Noise          | \$60.00  |              |              |
| Predictions Using VOACAP   |          |              |              |
| User's Guide**             |          |              |              |
|                            |          |              |              |
| P/N 523-0780-552           |          |              |              |
+----------------------------+----------+--------------+--------------+
|                            | **       |              |              |
|                            | Shipping |              |              |
|                            | &        |              |              |
|                            | Handling |              |              |
|                            | Charges  |              |              |
|                            | --       |              |              |
|                            | Choose   |              |              |
|                            | One**    |              |              |
|                            |          |              |              |
|                            | Federal  |              |              |
|                            | Ex Next  |              |              |
|                            | Day      |              |              |
|                            | (U.S.    |              |              |
|                            | Only) -  |              |              |
|                            | \$20.00  |              |              |
|                            |          |              |              |
|                            | U.S. &   |              |              |
|                            | Canada   |              |              |
|                            | Parcel   |              |              |
|                            | Post     |              |              |
|                            | -\$5.00  |              |              |
|                            |          |              |              |
|                            | Inter    |              |              |
|                            | national |              |              |
|                            | Parcel   |              |              |
|                            | Post -   |              |              |
|                            | \$10.00  |              |              |
|                            |          |              |              |
|                            | On       |              |              |
|                            | orders   |              |              |
|                            | e        |              |              |
|                            | xceeding |              |              |
|                            | one      |              |              |
|                            | manual,  |              |              |
|                            | call for |              |              |
|                            | shipping |              |              |
|                            | &        |              |              |
|                            | handling |              |              |
|                            | charges  |              |              |
+----------------------------+----------+--------------+--------------+
|                            | *        |              |              |
|                            | *TOTAL** |              |              |
+----------------------------+----------+--------------+--------------+

**\*STATE/LOCAL TAX APPLY, OR**

####  PROVIDE TAX EXEMPT NUMBER: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**SOLD TO:** **DELIVER TO:** (use only if different than Sold To):

Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Company:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Company:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Street Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Street Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
City:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ State:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Country:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Country:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Phone:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Phone:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| **Payment Method:**                                                   |
|                                                                       |
| Check \_\_\_\_\_\_ Money Order \_\_\_\_\_\_                           |
|                                                                       |
| Mastercard \_\_\_\_\_\_ VISA \_\_\_\_\_\_ American Express            |
| \_\_\_\_\_\_                                                          |
|                                                                       |
| Credit Card Number                                                    |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\                     |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Expiration Date \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_      |
|                                                                       |
| Exact Name as it Appears on Card                                      |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\                                           |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
+-----------------------------------------------------------------------+

WHERE DID THEY HEAR ABOUT PROPMAN?
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_