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  1. Remit to:                 Steven Calwas
  2.                           Moderne Software
  3.                           P.O. Box 3638
  4.                           Santa Clara, CA 95055-3638
  5.                           (408)247-0509
  6.  
  7.                           Anarkey 4.0
  8.  
  9.  
  10.    Please send me a registered Anarkey disk and printed manual.
  11.  
  12.  
  13. ____ Anarkey, includes disk and printed manual, $29.95 each     $ ______
  14.  
  15. ____ Network License, includes one disk and manual
  16.         Note: Although one physical copy of the software is
  17.         delivered, each network user must obtain a license.
  18.                 First user       ...  $29.95                      ______
  19.                 Subsequent users ... x 10.00 each                 ______
  20.  
  21. ____ Multiple-Copy Discounts
  22.                  5 to 24   27.95 each
  23.                 25 to 49   25.95 each
  24.                 50 to 99   23.95 each
  25.                 100+       Contact Moderne Software for pricing   ______
  26.  
  27.  
  28.  
  29.                             California residents, add sales tax $ ______
  30.  
  31.                                           Shipping and Handling
  32.                                             U.S.:         $4.00
  33.                                             Outside U.S.: $8.00 $ ______
  34.  
  35.                                                                 ________
  36.  
  37.                                                           Total $
  38.                                                                 ========
  39.  
  40. Specify Disk Size:  ____ 5.25"      ____ 3.5"
  41.  
  42. Payment by:  ( ) Check   ( ) Money Order   ( ) Credit Card (be sure to
  43.                                                  attach CREDIT.CRD form)
  44.  
  45.     Name:  _____________________________________________________________
  46.  
  47. (Company:) _____________________________________________________________
  48.  
  49.  Address:  _____________________________________________________________
  50.  
  51.         :  _____________________________________________________________
  52.  
  53.         :  _____________________________________________________________
  54.  
  55. From where did you hear of Anarkey: ____________________________________
  56.  
  57. Anarkey features you find most useful:
  58.  
  59.  
  60. Features you find least or not useful:
  61.  
  62.  
  63. Features you would like to see added (use additional pages, if necessary):
  64.  
  65.  
  66.