Purchase Form ----- FAX TO: ASTAware at 416 760-8138 I would like a quotation for: ASTAware SearchDisc v.3.1 for publishing of ______ (enter volume) CD-ROMs ASTAware SearchKey-PRO v.3.1 ____ for ___ server(s) for ASTAware SearchKey-API ____ First name:__________________________________________________________ Last name: __________________________________________________________ Company: ____________________________________________________________ Address: ____________________________________________________________ City:___________________State:_________ Zip Code: ___________________ Country:________________ Phone: ________________ Fax: ________________ email: ________________________________ URL: ________________________________ Please charge to: ____ VISA ____ MASTERCARD _____ P.O.number Card Number: ________________________________ Name on the Card (please print) _____________________________________ Expiry Date: _______________ Signature to authorize purchase: ___________________________ Please Fax to: 416 760-8138 or mail this form to: ASTAware Technologies INC. 2489 Bloor St. West, Suite 100 Toronto, Ontario, M6S 1R6, CANADA phone: 416 760-0111 9:00am-5:00pm Monday-Friday, Eastern Standard Time