Text Box: DX4WIN Order Form Send to: BrookHill Data Systems LLC 4900 Bradford Drive, Annandale, VA 22003 Telephone: (703) 939-9948 Fax: (703) 750-9744 Email: sales@dx4win.com website: http://www.dx4win.com Name____________________________________ Callsign____________ Street________________________________________________________ City________________________State___ ZIP/Postal code_________ Country ________________________________ Phone________________ Fax___________________ Email__________________________________ DX4WIN Version 8 license (no CDROM) $89.95 $_______ (Download from website) DX4WIN Version 8 Printed User's Guide N/A $_______ (The users' guide is not yet available) UPGRADES: From Version 5 or earlier $50.00 $_______ From Version 6 $45.00 $_______ From Version 7 $30.00 $_______ From Version 8 -- New purchase or upgrade since Mar-1, 2009 N/C SHIPPING AND HANDLING Download from website N/C Priority mail U.S. / Canada $ 8.95 $_______ Airmail Other Areas $15.00 $_______ Virginia residents add state tax: (5%) $_______ Total (US $ funds only) $_______ Method of payment: Check__ Money order__ (drawn on US bank only) MasterCard__ VISA__ Discover__ Name exactly as on credit card _______________________________ Card Number___________________________________________________ Expiration Date_______________________________________________ CVV2 # ____USA only; last group of 3 digits on signature strip Signature_____________________________________________________