HyperACCESS Order Form

Customer Code: HWTD

Print, mail, e-mail, upload, or FAX this form to Hilgraeve at the address listed below:

Name:

Address 1:

Address 2:

City:

State/Province: Postal/Zip Code:

Country:

Please fill in the Total column

Product

List Price

Act Now!

Total
HyperTerminal Private Edition
(Commercial single-user license)		  

$29.95
HyperACCESS CD
(please call for 3.5" disks)

$129.00

$79.95
Sales Tax (MI only, add 6%)    
Shipping
(for US delivery only, call for other rates)		  

$7.50
Total    


Payment Method:

Credit Card Number: Expiration:

Signature (or name on the card):

Limit one per customer

Hilgraeve Inc.
111 Conant Ave.Suite A
Monroe, MI 48161
(800) 826-2760 (313) 243-0576
(313) 243-0645 (FAX)
sales@hilgraeve.com (e-mail)
hbbs.hilgraeve.com (BBS upload)