
ODBCExpress Order Form
======================


Attention
---------

          Kim Bastick

          Korbitec (Pty) Ltd                      Tel: +27 21 658 9700
          PO Box 243                              Fax: +27 21 658 9701
          Nuweland
          Cape Town
          7725
          South Africa


Customer Details
----------------

   First Name: _______________________________________________________

    Last Name: _______________________________________________________

      Company: _______________________________________________________
 
      Address: _______________________________________________________

         City: _______________________________________________________

  Postal Code: _______________________________________________________

      Country: _______________________________________________________

      Phone #: _______________________________________________________

        Fax #: _______________________________________________________

        Email: _________________________________________(PLEASE PRINT)



Product Details
---------------

  Packages

    STD = Standard Version:      Source Code Not Included
    PRO = Professional Version:  Source Code Included

  Product Codes

    OE16STD = STD Version 3.x for Delphi 1.
    OE16PRO = PRO Version 3.x for Delphi 1.

    OE32STD = STD Version 3.x for Delphi 2, and/or
              STD Version 4.x for Delphi 3, and/or
              STD Version 5.x for Delphi 4-6.
    OE32PRO = PRO Version 3.x for Delphi 2, and/or
              PRO Version 4.x for Delphi 3, and/or
              PRO Version 5.x for Delphi 4-6.

    OECBSTD = STD Version 3.x for C++Builder 1, and/or
              STD Version 4.x for C++Builder 3, and/or
              STD Version 5.x for C++Builder 4-6.
    OECBPRO = PRO Version 3.x for C++Builder 1, and/or
              PRO Version 4.x for C++Builder 3, and/or
              PRO Version 5.x for C++Builder 4-6.

    OEKSTD  = STD Version 5.x for Kylix 2.

    OEKPRO  = PRO Version 5.x for Kylix 2.

  Products

  16bit Delphi Products:

  QTY (Number of Developer Licenses)                        US$    ZAR
  [  ] OE16STD ............................................ 299   1599
  [  ] OE16PRO ............................................ 699   3799

  32bit Delphi Products:

  QTY (Number of Developer Licenses)                        US$    ZAR
  [  ] OE32STD ............................................ 299   1599
  [  ] OE32PRO ............................................ 699   3799

  C++Builder Products:

  QTY (Number of Developer Licenses)                        US$    ZAR
  [  ] OECBSTD ............................................ 299   1599
  [  ] OECBPRO ............................................ 699   3799

  Kylix Products:

  QTY (Number of Developer Licenses)                        US$    ZAR
  [  ] OEKSTD  ............................................ 299   1599
  [  ] OEKPRO  ............................................ 699   3799

  Upgrades:

  QTY (Number of Developer Licenses)                        US$    ZAR
  [  ] Upgrade OE16STD to OE16PRO ......................... 449   2399
  [  ] Upgrade OE32STD to OE32PRO ......................... 449   2399
  [  ] Upgrade OECBSTD to OECBPRO ......................... 449   2399
  [  ] Upgrade OEKSTD to OEKPRO   ......................... 449   2399
  [  ] Upgrade STD Version 3.x or 4.x to STD Version 5.x ..  99    499
  [  ] Upgrade PRO Version 3.x or 4.x to PRO Version 5.x .. 199   1099

  Crossgrades:

  Change your ODBCExpress licenses for one product (OE16, OE32, or
  OECB) to include one of the other products.

  QTY (Number of Developer Licenses)                        US$    ZAR
  [  ] Crossgrade STD to STD (any product, specify) ....... 199   1099
  [  ] Crossgrade STD to PRO (any product, specify) ....... 499   2699
  [  ] Crossgrade PRO to PRO (any product, specify) ....... 199   1099

  (ZAR pricing is for South African customers only) Total: $____ R____

  The above pricing is valid as of 1 November 1998.

  Software is shipped via the Internet, at no additional cost.

  If necessary, please add complete details of the versions and
  quantities ordered in the comments section below.


Payment Details
---------------

                Card Type: VISA ___ MasterCard ___ AmEx ___ Diners ___

              Card Number: ___________________________________________
 
          Card Expiration: ___________________________________________

       Card Holder's Name: ___________________________________________

  Card Holder's Signature: ___________________________________________


                 Comments: ___________________________________________

                           ___________________________________________

                           ___________________________________________

                           ___________________________________________
