ORDER FORM - SuperClip 3.60 for Windows 95/NT STN To become a registered user and receive the Professional Edition, fill out this form and mail, e-mail, or fax to AndroSoft 125 N. Prospect Street Washington, NJ 07882 U.S.A. E-mail: andromeda@compuserve.com Fax: 908 689 0047 Tel: 908 689 4412 Name_____________________________________________________________ Company________________________________ Dept.____________________ Address________________________________ City_____________________ State_______________ ZIP_______________ Country__________________ Tel.________________ Fax_______________ E-mail___________________ Registration fee is $39.00 for one computer, plus $10.00 for each additional computer or workstation on which SuperClip will be used. Number of computers, including network servers and workstations, on which SuperClip will be used: __________________ Registration fee for one computer or network server: ______$39.00 Additional computers or network workstations x $10 = ____________ Delivery by first-class mail on diskette: $1 x number of diskettes required = ____________ Delivery by e-mail as attached zip file containing conversion key and manual, sclip.rtf: $1.00 ____________ TOTAL: ____________ Check enclosed____ VISA____ MasterCard____ American Express____ VISA/MC/AmEx#_______________________________ exp.________________ Signature________________________________________________________