Order Form

This form is for payment by Checks and Money Orders.
You can also pay by Credit Card using this form.


ITEM                                         QUANTITY           TOTAL PRICE
            
NetWanga for Windows                         _________ X $ 9.99 ___________
NetWanga for Macintosh                       _________ X $ 9.99 ___________
NetWanga for Linux                           _________ X $12.99 ___________
NetWanga for Solaris                         _________ X $12.99 ___________
NetWanga for Mainframes/Minis/Supercomputers _________ X $12.99 ___________
NetWanga for Vintage Computers               _________ X $12.99 ___________

                                                  SUBTOTAL:    $___________

___________________________________________________________________________

                                       Shipping & Handling:

                               $4.00 per Order (US & Canada)   $       4.00
               Other countries, add $6.00 additional S&H fee   $       
																						
      California residents, add sales tax (8.25% X SUBTOTAL)   $

                                                     TOTAL:    $___________

___________________________________________________________________________

Method of Payment:

[ ] Check/Money Order enclosed including handling, for         $___________
    (Make check payable in US funds to: micro/future)

[ ] VISA/MasterCard/American Express/Discover                  $___________

Card Number_________________________________________Exp Date_______________

Your Three Digit Card Verification Number (on the back) ___________________

Signature__________________________________________________________________

Print Name_________________________________________________________________

Billing Address____________________________________________________________

Shipping Information

Name_______________________________________________________________________

Company____________________________________________________________________

Address____________________________________________________________________

City______________________________________________State____________________

PostalCode__________________________Country________________________________

Phone_______________________________Fax____________________________________

Email______________________________________________________________________

___________________________________________________________________________

Mail or Fax your order:

      By mail:   micro/future
                 PO Box 2202
                 Venice, CA 90294
                 USA
				 
      By fax:    1.310.281.8376
      (Credit Card Orders Only)


Allow 2 weeks for delivery.
All Sales Final.


You can reach us at sales@netwanga.com 
if you have questions about the progress of your order.