2246 Ivy Road, Suite 15

Charlottesville, VA 22903

Phone: 804-817-0014

Fax: 509-753-2264

Email: sales@lanscan.com

http://www.lanscan.com

LANScan Order Form

Complete the form and send to Owensville Systems. If payment is to be sent separately, mail payment to address shown above.

Name: ____________________________________________________________________

Address: ___________________________________________________________________

___________________________________________________________________

City: _______________________________State/Province: _________________

Zip/Postal Code:_______________________Country: ______________________

Email Address______________________________________________________________

Part Number	Name	Qty.	List Price	Total
LSCAN-041	LANScan Traffic View – electronic distribution		$79
LSCAN-042	LANScan Traffic View – distributed on CD-Rom		$89
LSCAN-010	LANScan Network Monitor		$295
LSCAN-020	LANScan Professional		$695
LSCAN-011	LANScan Network Monitor Plus		$445
LSCAN-211	LANScan Professional Plus		$995
LSCAN-023	LANScan Traffic View to Network Monitor Upgrade		$250
LSCAN-021	LANScan Net to Pro Upgrade		$545
LSCAN-022	LANScan Version Upgrade		$195
LSCAN-201	LANScan Network Monitor Annual Support		$200
LSCAN-202	LANScan Professional Annual Support		$395
Total Order:

Prices are in US Dollars

Credit card orders may be entered online at www.lanscan.com/pricelist.htm

____ Credit Card Number:_____________________________________ Expiration: __________

Authorizing Signature: _____________________________________________

(Visa, Mastercard, Discover and American Express Credit Cards accepted)

____ Use Company Purchase Order. Purchase Order Number:_____________________________________

____ Check/Money Order ____ Payment Enclosed, or ____ Sending Payment separately.