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#             SAPIENS Registration Card             #
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Name________________________________________________________________

Address_____________________________________________________________

City__________________________ State ____________________ZIP________

Country________________________E-mail ______________________________

Phone (______)_________________ Fax (______)_________________ 

•___ I want to receive my registration number via my E-Mail.

• I register my Sapiens copy, version ___.___ for
                 ____ Macintosh
                 ____ PC

• My payment :         
        Mode
                 ____ cash
                 ____ check
        Currency
                 ____  US $ 20
                 ____  100 French Francs
                 ____  13 British Pounds
                 ____  30 German D-Mark
                 ____  Canadian $ 29
                 ____  2100 Yen
 
Add $5 (or equivalent) if you want to receive the next release of Sapiens on 
floppy disk by postal mail. 

Date : ___________________________ Signature_________________________ 


•The way I've got Sapiens :
___________________________________________________________________________

___________________________________________________________________________

•My remarks:
___________________________________________________________________________

___________________________________________________________________________

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Mail to		:   
               Didier & Olivier GUILLION
               4 rue de Bordeaux
               31200 Toulouse 
               FRANCE