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Text File  |  1997-11-15  |  2KB  |  46 lines
  1. ORDER FORM - SuperClip 3.60 for Windows 95/NT                 STN
  2.  
  3. To become a registered user and receive the Professional Edition,
  4. fill out this form and mail, e-mail, or fax to
  5.  
  6.                    AndroSoft
  7.                    125 N. Prospect Street
  8.                    Washington, NJ 07882  U.S.A.
  9.  
  10. E-mail: andromeda@compuserve.com
  11. Fax: 908 689 0047  Tel: 908 689 4412
  12.  
  13. Name_____________________________________________________________
  14.  
  15. Company________________________________ Dept.____________________
  16.  
  17. Address________________________________ City_____________________
  18.  
  19. State_______________ ZIP_______________ Country__________________
  20.  
  21. Tel.________________ Fax_______________ E-mail___________________
  22.  
  23. Registration fee is $39.00 for one computer, plus $10.00 for
  24. each additional computer or workstation on which SuperClip will
  25. be used.  Number of computers, including network servers and
  26. workstations, on which SuperClip will be used: __________________
  27.  
  28. Registration fee for one computer or network server: ______$39.00
  29.  
  30. Additional computers or network workstations x $10 = ____________
  31.  
  32. Delivery by first-class mail on diskette:
  33. $1 x number of diskettes required =                  ____________
  34.  
  35. Delivery by e-mail as attached zip file containing
  36. conversion key and manual, sclip.rtf: $1.00          ____________
  37.  
  38.                                               TOTAL: ____________
  39.  
  40. Check enclosed____  VISA____ MasterCard____  American Express____
  41.  
  42. VISA/MC/AmEx#_______________________________ exp.________________
  43.  
  44. Signature________________________________________________________
  45.  
  46.