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  1. LeanHTTP Order Form
  2. (Alternatively you can register and pay using CompuServe: GO CIS:SWREG)
  3.  
  4. Please send me the following:
  5.  _____________________________________________________________________________________________
  6. |Item                                |Quant.    |    Price    |Total|
  7.  _______________________________________________________________|_______|_____________________|
  8. |Copy of LeanHTTP with a single machine license            |    |    $25     |     |
  9. |Copy of LeanHTTP with a 10 machine license            |    |    $200    |     |
  10. |Copy of LeanHTTP with a 20 machine license            |    |    $300    |     |
  11. |Copy of LeanHTTP source code with a single machine license    |    |    $50     |     |
  12. |Shipping and handling charges in the USA            |    |    $5      |     |
  13. |Shipping and handling charges outside of the USA        |    |    $10     |     |
  14.  _______________________________________________________________|_______|_______________|_____|
  15. |                            Subtotal........................      |
  16. |                            Applicable tax (if any).........      |
  17.  _____________________________________________________________________________________________|
  18. |                            Total...........................      |
  19.  _____________________________________________________________________________________________|
  20.  
  21. Please circle one of the following methods of delivery:
  22. - E-mail (MIME extension).  E-mail address:
  23. - FTP.  Please make sure that we have upload permission. FTP site:
  24. - US Postal service.  Please include shipping and handling charges in the payment.  Ship to address:
  25.  
  26. Please tell us more about yourself:<BR>
  27. Name:
  28. Company:
  29. Address:
  30. City:
  31. State, ZIP:
  32. Country:
  33. Phone:
  34. FAX:
  35. E-mail:
  36. WWW Home page:
  37.  
  38. Please mail this form with payment to:
  39. Logyx Computer Corp.
  40. PO Box 130440
  41. Ann Arbor, MI 48113-0440
  42. USA
  43.