Order Form for #9611, NoteWorthy Composer (includes license to use any version 1.* edition) Name:________________________________________________________ Address:_____________________________________________________ _____________________________________________________________ _____________________________________________________________ Day Phone:___________________ Eve Phone:_____________________ Fax Phone:___________________ E-Mail ID:_____________________ The current price¹ is US $39. Please select your payment method: ( ) I have enclosed a check or money order¹ drawn from a US bank or institution made payable to NoteWorthy Software, Inc. ( ) Charge the fee¹ to my VISA / MASTERCARD / AMEX / DISCOVER: Card #: ______________________________ Expires: _____ / ____ Month Year Cardholder Name:__________________________________________ Cardholder Signature:_____________________________________ ¹ Current price of US $39 guaranteed through 31 December 2000. Price subject to change after guarantee date has expired. North Carolina residents, please add 6% sales tax ($2.34). Please allow 1 to 4 weeks for delivery in North America, and 2 to 6 weeks for all other countries/territories. See the online help for details on placing a phone order, or send completed form to: NoteWorthy Software, Inc. FAX: +1 919-557-6157 PO Box 995 sales@NoteWorthyComposer.com Fuquay-Varina, NC 27526 http://NoteWorthyComposer.com USA