Internet WorkShop * Ph. 520-440-1420 *
2921 S. Cottonwood Ln., Tucson, AZ 85713

WEBGLIMPSE ORDER FORM

Contact name: ________________________ Company:____________________
Address:_________________________City____________State___ Zip:_______
Phone:___________________________FAX:_____________________________
E-mail address:______________________________________________________

Please check the license you wish to purchase:

	# employees	# companies *	# domains	Price
____	<= 100	1	1	$200
____	unlimited	<= 100	<= 10	$500
____	unlimited	unlimited	<= 100	$750
____	unlimited	unlimited	unlimited	$2000

^*# of companies refers to the number of client companies who will be using webglimpse to index their site.

You are entitled to all upgrades and commercial releases of Webglimpse for 1 year.
This license also entitles you to use Glimpse v4.11 or earlier according to the usage schedule above.

Do you want to be notified of new releases? Yes / No

Where did you hear about us? ________________________________

Total Amount Enclosed: ______________________	Please mail to:
Signature:_________________________________	Internet WorkShop
Date: ____________________________________	212 S. Meridith Av.
	Pasadena, CA 91106