Order Form for FROG

To expedite orders, send purchase orders by fax, request electronic delivery of the software, and provide a fax number for invoicing.

Customers in Japan, click here.

For a Macintosh version of FROG, contact makTECH.

Print this form and send it, along with your check or purchase order, to get your copy of FROG.

Credit card orders:

• Paypal: either include your email address, or pay with the Paypal buttons below!
• Regular credit card: fax card info (number, exp. date, cardholder name, and billing address).

Name:____________________________________________________________________

Company:_________________________________________________________________

Address:_________________________________________________________________

Address:_________________________________________________________________

City:____________________________________________________________________

State:______________Zip Code:____________________________________________

Country:_________________________________________________________________

Phone Number:____________________________________________________________

Fax:_____________________________________________________________________

Email:___________________________________________________________________

If you are buying under a US government contract, you are entitled to a 10% discount. You must provide us with your contract number. If you do not provide a contract number, we cannot give a discount.

US Government contract number:___________________________________________

If you are ordering an upgrade version of FROG, you must provide us with the serial number on the original disk (or the Femtosoft invoice number). Without this number, we will be unable to fill your order.

Original serial number:__________

Product	Unit Price	Quantity	Item Total
FROG 3.x	$495	______	________
Addition of TADPOLE capability	$200	______	________
Addition of XFROG capability	$200	______	________
QuickFrog 3.x	$2500	______	________
Site license, FROG 3.x	$4000	______	________
Sub-Total:			________
Less US Government Discount	10%		________
CA Residents State Tax	8.25%		________
Total			________

Send your order to:

Femtosoft Technologies
3686 Virden Ave.
Oakland, CA 94619
Phone: 510-967-9354 Fax: 800-861-7512 (USA)
Fax: 253-981-0743 (other countries)

Credit Card Orders

Item	Regular	With Government Discount
FROG 3
FROG plus TADPOLE
FROG plus XFROG
FROG plus TADPOLE and XFROG

Email Femtosoft at with any questions.

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