Buying a Automatic Remasterer usage license.

           ( Please answer questions required for your license and
            send it to your local Automatic Remasterer agent along
            with the License fee )  Please PRINT this section clearly.

          Name: ___________________________________________________

       Company: ___________________________________________________

       Address: ___________________________________________________

          City: ___________________________________________________

State/Province: ___________________________________________________

   Zip/Country: ___________________________________________________

         Phone: _____________________   E-mail: ___________________
                      (voice)                        (internet)



Price list for Automatic Remasterer 

        1  copy   (  ) $50.00 each        2  copies (  ) $39.00 each

   3 -  5  copies (  ) $34.00 each   6 -  9  copies (  ) $29.50 each

  10 - 24  copies (  ) $22.00 each  25 - 49  copies (  ) $17.00 each
                           
  50 - 99  copies (  ) $13.00 each 100 - 199 copies (  )  $9.40 each

 200 - 499 copies (  )  $8.00 each 500 - 999 copies (  )  $5.30 each


  Site/National unlimited usage licence   (  )  Please ask for
  pricing

  All prices quoted are in US dollars and do not include local
  taxes.

  For details of anything not specifically covered by the above
  price list please contact your local Automatic Remasterer agent
  or the Worldwide Distribution centre.

 Number of licenses to purchase: __________________________________

 Send license key via:

 ( )  mail to your address       ( )  E-Mail to above address

 User name string for license key:

 Note:
        The license code must be a 5 - 45 characters in length and
        cannot contain the underscore character "_" or angle
        brackets ">" or "<"