This is the order form for an upgrade of CDEveryWhere. We accept the payment in three ways, 1)check, 2)money order, 3)credit card. You may mail this form along with the payment to the address: Interactive Information R&D, LLC 6345 S. 56th Street, Suite 300 Lincoln, NE 68516 USA Or if you are using the credit card, you may facsimile this form to (402) 420-5029 along with the credit card information. NOTE: Prices at our web-site: http://www.cdeverywhere.com may differ from the ones below. If so, please change the prices in the chart to the ones at our web-site. The currency is in the US dollars. Std - Standard Edition Pro - Professional Edition Per - Personal Edition +------------------------------------------+---------+----------+--------+ | Product Name | Price | Quantity | Amount | +------------------------------------------+---------+----------+--------+ | CDEveryWhere v1.x Std to v2.0 Pro | $175.00 | | | +------------------------------------------+---------+----------+--------+ | CDEveryWhere v1.x Std to v2.0 Std | $75.00 | | | +------------------------------------------+---------+----------+--------+ | CDEveryWhere v1.x Pro to v2.0 Pro | $75.00 | | | +------------------------------------------+---------+----------+--------+ | CDEveryWhere v2.0 Std to v2.0 Pro | $100.00 | | | +------------------------------------------+---------+----------+--------+ | CDEveryWhere v2.0 Per to v2.0 Std | $156.00 | | | +------------------------------------------+---------+----------+--------+ | CDEveryWhere v2.0 Per to v2.0 Pro | $256.00 | | | +------------------------------------------+---------+----------+--------+ | Subtotal | | +---------------------------------------------------------------+--------+ | Nebraska residents add 7% sales tax | | +---------------------------------------------------------------+--------+ | Total(USD) | | +---------------------------------------------------------------+--------+ Order Information ----------------- Please enter your previous order number and registered email address. NOTE: This form is for an upgrade of CDEveryWhere and is subject to verification of your previous order. Order Number: _________________ Registered Phone #: ______________________ Registered Email: _____________________________ Contact Address --------------- You will not be sent any tangible material such as a CD or manual book. First Name: _______________________ Last Name: ___________________________ Email Address (Required):__________________________________________________ Address: __________________________________________________________________ City: ________________________________ State/Province: ____________________ ZIP: ________________ Country: ____________ Phone: ________________________ Email: ______________________________ Billing Information (If different from Caontact Address) ------------------- First Name: _______________________ Last Name: ___________________________ Address: __________________________________________________________________ City: ________________________________ State/Province: ____________________ ZIP: ________________ Country: ____________ Phone: ________________________ Credit Card Information ----------------------- If you wish to pay by a credit card, please fill in the information below. (Required to process transaction) Name on Credit Card: ______________________________________________________ Credit Card Type: __________________________ (i.e. VISA, MasterCard etc.) Credit Card Number: _______________________________________________________ Expiration date: ______________________________ Signature: ___________________________________