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- LView Pro 1.A -- Site Registration Form
-
-
- 1. Company information:
-
- Company Name: ___________________________________________________
- Site Address:____________________________________________________
- City: ___________________ State: _______________ ZIP: ___________
- Country (if other than US): _____________________________________
- Phone number: (___)______________ Date (MM/DD/YY): ____/____/____
- Authorized representative: ______________________________________
- E-mail address (optional):_______________________________________
-
- 2. Choice of registered version(s) (check all that apply,
- among the options, up to the total number of copies being
- registered):
-
- __ 386 Windows 3.1, 16-bit application
- __ 486/Pentium Windows 3.1, 16-bit application
- __ 486/Pentium Windows 3.1+Win32s/Windows NT, 32-bit application
-
- 3. Shipping and Handling (check one):
-
- __ E-mail uuencoded file to: ____________________________________
- __ 3 1/2'' DS/DD disks (Shipping and Handling: US: $5.00 per
- disk *, Non U.S.: $12.00 per disk *)
-
- * Each version checked in item (2) above will be shipped
- in a separate disk.
-
- 4. Payment and fees:
-
- Fees are in U.S. dollars, payments must made in in checks
- or money orders drawn on U.S. banks. Payment must be mailed
- together with this form. Please, do not send cash. Make checks
- or money orders payable to:
-
- Leonardo Haddad Loureiro
-
- 5. Pricing for the use of LView Pro 1.A or newer, per site
- computer (Write for pricing on quantities over 99 computers):
-
- __ 1 computer at $30: $ 30.00
- __ 2 to 24 computers at $20 each computer: ____ x 20 = $______
- __ 25 to 99 computers at $17 each computer: ____ x 17 = $______
-
- __ Total U.S. Shipping and handling (if not E-mail)......$______
- __ Total Non U.S. Shipping and handling (if not E-mail)..$______
-
- __ Florida companies add appropriate sales tax...........$______
-
- Total:...................................................$______
-
- 6. Mail this form together with payment to:
-
- Leonardo Haddad Loureiro
- 1501 East Hallandale Beach Boulevard, #254
- Hallandale - FL - 33009
- USA
-
-