WAVmaker Registration Form
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                                                          Date ______________
 
     Name ___________________________________________________________________
 
     [Company] ______________________________________________________________
 
     [Title] ________________________________________________________________
 
     Address ________________________________________________________________
 
     City __________________________  State/Country _________________________
 
     Zip ___________________________  [Phone] _______________________________
 
     [E-mail address] _______________________________________________________
 
     I got WAVmaker version ___ [from] ______________________________________
 
     [Comments/suggestions] _________________________________________________
 
     ________________________________________________________________________
 
     ________________________________________________________________________


     One (1) Standard Registration at $30 US                           ______
 
     One (1) Advanced Registration at $50 US                           ______
 
     Shipping & Handling: if you are in the European Union, $15 US     ______
 
                          otherwise, $20 US                            ______
 
     TOTAL ORDER                                                       ______
 
     Payment method:  [ ] Bank wire        [ ] Bank check
                      [ ] Postal giro      [ ] Cash