ORDER FORM FOR MATHTYPE FOR WINDOWS


Name________________________________________ Date_____________________

Address_________________________________________ Please no P.O. Boxes
                                                       for UPS delivery.
       _________________________________________ 

       _________________________________________   Phone______________________

Ship Method (check one) ___ 1 = UPS Ground   ___ 4 = Mail
                        ___ 2 = UPS Blue     ___ 5 = Hand
                        ___ 3 = UPS Red      ___ 6 = Other _________________

Please send me MathType for Windows              ___$249.00____
 
Disk Size?                   ____5 1/4 1.2M      ____3 1/2 720K

Calif. Residents Add 6.75% Sales Tax             ______________

COD charge                                       _____$3.50____

Shipping ($3 US, $7 Canada/Mexico, $37 Foreign)  ______________

Total                                            ______________

Choose method of payment:

Enclosed is a   

____   check payable to Design Science, Inc. and drawn on a US bank

____   money order payable to Design Science, Inc. and drawn on a US bank

____   P.O. and check attached

____   P.O. attached, please invoice

____   send COD (be sure to add $3.50)

Please charge my credit card (check one):

____   VISA           ____   MasterCard

Credit Card Number   _________-___________-__________-_________

Expiration Date:  ________ /_________   (month/year)

Name on Card (please print):   _______________________________________________

Signature:   _________________________________________________________________

Send completed order form to:    Design Science, Inc.
                                 4028 Broadway
                                 Long Beach, CA 90803
                                 Phone: (213) 433-0685   FAX: (213) 438-6969