Please print this form and mail it along with your payment in a Money Order (International Money Order if outside the US) or company check, payable in US dollars to: Interactive Information R&D, LLC 4911 Concord Road Lincoln, NE 68516 USA NOTE: Prices are subject to change. Please visit our web site at http://www.cdeverywhere.com/Order for the most current prices. If they differ from those below (due to a special promotion, etc.) then use the web site price in the "Amount" field. +------------------------------------------+---------+----------+--------+ | Product Name | Price | Quantity | Amount | +------------------------------------------+---------+----------+--------+ | CDEveryWhere Professional Version | $295.95 | | | +------------------------------------------+---------+----------+--------+ | CDEveryWhere Standard Version | $195.95 | | | +------------------------------------------+---------+----------+--------+ | CDEveryWhere Personal Version | $39.95 | | | +------------------------------------------+---------+----------+--------+ | Subtotal | | +---------------------------------------------------------------+--------+ | Nebraska residents add 6.5% sales tax | | +---------------------------------------------------------------+--------+ | Total | | +---------------------------------------------------------------+--------+ Registration Information ------------------------ This information is used to create your license key. You need to fill in at least either Company Name or First Name and Last Name. Company: _________________________________________________________________ First Name: _______________________ Last Name: ___________________________ Contact Information ------------------- Email address is required. You will not be sent any tangible material such as a CD or manual. A license key that will activate the features in CDEveryWhere will be emailed to you. First Name: _______________________ Last Name: ___________________________ Email Address: ____________________________________________________________ Mailing Address: __________________________________________________________ __________________________________________________________ City: _____________________________________________________________________ State/Province: ____________________________________ ZIP: ________________ Country: ______________________