Amzi! Order Form
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INSTRUCTIONS

All Amzi! products and updates can be downloaded from our web site,
and are unlocked by entering the registration information we e-mail 
to you.

Alternatively we can ship the products on 3.5" diskette for an
additional shipping charge. 

Please note for diskette orders outside the U.S., customs charges or 
import duties may be applied by officials in your country.

We accept MasterCard, Visa, Discover, American Express, purchase 
orders (from education, government, D&B-listed companies), wire
transfers and checks or money orders in U.S. dollars drawn on a 
U.S. or Canadian bank.

(Call Us for Multiple PC Licenses & Quantity Discounts)

For Immediate Shipment--
	FAX to:       513 / 425-8025 (anytime)
	or call:      513 / 425-8050
	or e-mail:    sales@amzi.com on Internet

Or, Mail to--
	Amzi! inc.
	5861 Greentree Road
	Lebanon, OH 45036 U.S.A.


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Bill To:                              Ship To (if different):
Name (first last):                    Name (first last):

Organization:                         Organization:

Full Mailing Address:                 Full Mailing Address:




Country:                              Country:

Phone:

FAX:

E-Mail (required):

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 #  Item                                           Price Each    Total
--------------------------------------------------------------------------

__ Amzi! Prolog+Logic Server, PC Professional Ed.  US$ 598.00  ________

__ 1st Year PC Professional Subscription Plus      US$ 198.00  ________
   (Requires above)

__ Amzi! Prolog+Logic Server, PC Personal Edition  US$ 298.00  ________

__ 1st Year PC Personal Subscription Plus          US$  99.00  ________
   (Requires above)

__ Amzi! Prolog+Logic Server, 
   PC Professional Edition 5-Developer Workgroup License
   (Includes licens for up to 5 developers and 
    First Year Subscription Plus)                  US$ 2385.00  ________

__ Amzi! Prolog+Logic Server, Solaris Edition      US$  898.00  ________

__ 1st Year Solaris Subscription Plus              US$  298.00  ________
   (Requires above)

__ OPL, Object-oriented Programming with Logic     US$  149.00  ________


                                                      SUB-TOTAL ________

                           U.S. Ohio Residents add 6% Sales Tax ________

                         Shipping (Internet $0, All Others $20) ________
     
        Subscription Plus Shipping (Internet $0, Diskettes $50) ________

                     TOTAL (all funds payable in U.S. $ please) ________

Payment Method:
__Check (drawn on a U.S. bank)  __Wire Transfer
__MasterCard  __Visa   __American Express  __Discover  

Card #:       __________________________________________________________

Exp Date:     __________

Issuing Bank: __________________________________________________________

Signature:    __________________________________________________________

Please tell us where you learned about us...

__an ad in_____________________         __an article in_________________
__a web site___________________         __a friend or associate
__mail from____________________         __other_________________________

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29 Apr 98

