WordQuiz Order Form

To print this order form, press the Print button above, or select Print... from the menu.

To order by check, send this order form and a check to:

Peter Hedlund
13135 Kellam Court
San Diego, CA 92130, U.S.A.

Payments must be in US dollars drawn on a US bank, or you can send international postal orders in US dollars.

All orders are subject to the License Agreement.

Customer information is considered confidential and will not be shared or distributed to any third parties.

Registered users of WordQuiz are entitled to unlimited free program updates.

Single User Copy ______ at $20.00 each = ________
Optional 3 ½" Disk ______ at   $5.00 each = ________
Total Payment:________

 

Date ____________________________________
Name ____________________________________
Shipping Address ____________________________________
____________________________________
City ____________________________________
State ____________________________________
Zip Code ____________________________________
Country ____________________________________
Day Phone ____________________________________
E-mail Address ____________________________________

[ ] Please send registration code via e-mail

Comments: