Registration Form

I enclose US$ 150 (cash) or US$ 170 (check) (or in Dutch Guilders based on the current exchange rate) as shareware payment for SimpleWave. The address of the site to be registered is (the smallest unit where SimpleWave will be used):

Company/Department:
____________________________________________________
Address:
____________________________________________________
Zip code and State:
____________________________________________________
Country
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Name:
____________________________________________________
Phone:
____________________________
Fax:
____________________________
E-mail:
____________________________
Total number of copies using:
____________________________
Using version:
____________________________

These are the type and number of client and server computers and type(s) of network which SimpleWave maintains:
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____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________

I understand that receipt of payment will be acknowledged. I will receive one significant upgrade, if there is one, free of charge, together with upgrade notices by email. I understand that making this shareware payment means that an unlimited number of copies of SimpleWave may be made for use within my registered site.

Comments and suggestions for this program:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________

O  You may quote me as a user of SimpleWave.

O  Please send me the disk with the latest version.
    O Email the disk as a compressed archive with the
       DiskCopy image file.