Newton Icon! Builder Order Form

 (View and print this document in the Monaco font, set to the 9 points size)



To order Newton Icon! Builder, you can:



   (1) Call LandWare with your credit card information: (201) 347-0031

or (2) Fill out and fax to: (201) 347-0340

or (3) Fill out and email to: sales@landware.com or AOL, eWorld: LandWare

or (4) Fill out and mail to: LandWare, Inc., P.O. Box 277, Budd Lake, NJ 07828.



Date            :

--------------------------------------------------------------------------------

Name            :

Organization    :

Mailing Address :







Country         :

Phone           :

E-mail          :

--------------------------------------------------------------------------------

                                                   Amount

--------------------------------------------------------------------------------

Newton Icon! Builder          :     ...x $20    $........... 

(Single User)



Newton Icon! Builder          :     ...x $250   $........... 

(Corporate Site License)



Tax (NJ residents only - 6%)         :          $...........





                                     TOTAL      $____________



Method of payment:  ___ Check/Money order

                    (U.S. checks/funds only - payable to LandWare, Inc.)



___ VISA    ___ MasterCard	   ___ AMEX    ___ Discover    ___ First Virtual



                    Card Number        :

                    Card Holder's Name :

                    Exp. Date          :



--------------------------------------------------------------------------------



                                   Thank you