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	ATOMS, SYMBOLS AND EQUATIONS v1.0 ORDER FORM - CREDIT CARDS ONLY
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			Product Number: 15514
     	Please complete all sections of this form  in full in order to
     	process  your  order.  YOU MUST OBTAIN THE APPROPRIATE LICENSE
     	FOR YOUR USE.
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	What type of license do you require?  Please tick one box. 
 
     	For use on a SINGLE computer 			  $25 - 00  [ ]
     	Site license for up to 6 machines	          $60 - 00  [ ]
	Site license for more than 6 machines	          $90 - 00  [ ]
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	Purchasers Details:

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 	Name exactly as on card: ___________________________________

 	Card Number:_____________________________ Expiry Date___________

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	Email(if available)  ____________________________________

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	Do you wish to receive registration by:  Email [  ]    Post [  ]
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	Either FAX this form to PsL at 713-524-6398 or mail it to them 
	at P.O.Box 35705, Houston, Texas 77235-5705, USA
	
	The PsL address/numbers are for ORDERS only. Address ANY queries 
	regarding Atoms, Symbols and Equations to the author.
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    	I understand that Atoms, Symbols and Equations is provided AS IS
	and without warranty of any kind, either express or implied. 
	I confirm that it will be used according to the license.