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REGFORM.TXT
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1996-10-26
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2KB
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WAVmaker Registration Form
--------------------------
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: [ ]*MasterCard [ ]*Visa
[ ] Bank transfer [ ]*Discover
[ ] Check [ ] Postal giro
[ ]*Money order [ ] Cash
(*: Through NorthStar Solutions only)
Card #:________________ Exp:____/____ Signature:________________________