TECA, Inc. 14600 SE Center St Portland, OR 97236 phone: 503-901-6335 fax: 503-761-6334 e-mail: info@teca.com web: www.teca.com Date _____________ TECA PRODUCT ORDER FORM Name __________________________________________________________ Company __________________________________________________________ Address __________________________________________________________ Country ________________________ Fax __________________ e-mail ________________________ Phone __________________ ================================================================== Executable Programs The programs listed in this section of the order form are licensed per User. Product Price Qty Amount ------------------------------------------------------------------ TECA ImageComboPack $ 59.95 _____ __________ (package of BOTH MultipleImageTransfer & ImageTransferPlus) TECA MultipleImageTransfer Program $ 39.95 _____ __________ TECA ImageTransferPlus v2.0 Program $ 39.95 _____ __________ ================================================================== ================================================================== ActiveX/COM Control Products The products listed in this section of the order form are licensed per Developer. Product Price Qty Amount ------------------------------------------------------------------ PC Platform Controls -------------------- NumericInput Control $ 35.00 _____ __________ INIFile Control $ 35.00 _____ __________ TECA Registry/OCX $ 35.00 _____ __________ ------------------------ AS/400 Platform Controls ------------------------ TECA Custom Controls Mega-Pack $ 625.00 _____ __________ (package of 6 AS/400 platform controls) TECA Data400 $ 295.00 _____ __________ (includes DataSourceControl and DBOLibrary) TECA Custom Controls for the AS/400 v2 $ 455.00 _____ __________ (package of 5 AS/400 platform controls) TECA FileTransfer/OCX $ 165.00 _____ __________ TECA DataQueue/OCX $ 145.00 _____ __________ TECA RemoteCommand/OCX $ 95.00 _____ __________ TECA Folders/OCX $ 65.00 _____ __________ TECA SystemName/OCX $ 55.00 _____ __________ ------------------------------------------------------------------ ================================================================== Ship disk:______ Ship manual:______ Payment ============================= Subtotal _______ ___ Check ___ P.O. (attached) = = Shipping _______ ___ VISA ___ Mastercard = ___ AmEx ___ Discover = = Card#____________________ Exp_____ = TOTAL USD _______ = Signature__________________________ = ===================================== If a disk and/or manual have been requested, shipping/handling charges will be added to your invoice. TECA Inc. Fax: 503-761-6334 14600 S.E. Center St. Phone: 503-901-6335 Portland, OR 97236 Web: www.teca.com