NetConnect for OnDemand/400® Software License E-mail Order Form

Highlight this entire form in your browser, copy it, and then paste it
into your e-mail.  Fill in the form with your information, then e-mail
it to:  NetConnect@oascorp.com

NOTE:  E-mail is not secure.  Use PGP to encrypt it securely.

Yes! Send me the following NetConnect for OnDemand/400 software license:

NOTE: Use of the software is subject to agreement to the license terms
included with the software.

 Item #       Description                       Price   Qty   Total price
 ------------------------------------------- ---------- ---- ---------------
 NetC001      NetConnect for OnDemand/400   |  $9,995  |    |              |
 ------------------------------------------- ---------- ---- ---------------
              1 Year Extended Maintenance   |      15% |    |              |
                                                             ---------------
              Sales tax (MD addresses only) |       5% |    |              |
                                                             ---------------
                                            Total           |              |
                                                             ---------------
Billing and shipping information

  Date
  Name
  Company
  Address
  Address
  City
  State
  ZIP
  Country
  Phone
  Fax
  E-mail
  AS/400 Serial Number 
     (required for license key creation)
  Purchase Order Number