Please print out this form, fill out all fields, include the amount in cash (bank notes) and send it to: Hyper-Q Software c/o R. Richina Heiselstrasse 81 CH-8155 Niederhasli Switzerland ************************************************************ Q-Recovery 98 Professional 1.0 - Order Form ************************************************************ Last Name:___________________________________________ First Name:__________________________________________ Company (if applicable):_____________________________ Street:______________________________________________ Zip Code:____________ City:__________________________ Country:_____________________________________________ E-Mail Adress:__________________@____________________ Please indicate followed the EXACT "Owner" and "Company" like showed under "Info" "Program Info" in Q-Recovery 98 : Owner:_______________________________________________ Company:_____________________________________________ *********************************************************** Single user licenses: ___ @ US-$15 = US-$ ______ (or) Single user license + latest version on floppy disk ___ @ US-$25 = US-$ ______ Total US-$ ______ *********************************************************** From where you have heard about our program? ________________________________________ Signature: __________________________________ *********************************************************** Please do not forget to include your CASH (banknote) with your order. After we have received your order, we will send you the unlocking code the e-mail adress, specified above.