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  1.             UltraEdit/UltraEdit-32 Order Form
  2.             ---------------------------------
  3. If you find UltraEdit/UltraEdit-32 useful, and continue to use it you are
  4. required to register it. 
  5.  
  6. Registration may be by one of the following methods:
  7. 1)    Check/Postal Money Order (Checks MUST be US dollars drawn on an US BANK)
  8. 2)    Credit Card - MasterCard or Visa
  9. 3)    CompuServe Online registration
  10.       (GO SWREG, register ID 2662 (UltraEdit) or ID 4017 (UltraEdit-32)
  11. 4)    Cash.
  12. 5)    Purchase Order
  13.  
  14. To register send payment/order to:    Ian D. Mead
  15.                                     IDM Computer Services
  16.                                     8209 Chestnut Hill Ct.
  17.                                     West Chester, OH 45069
  18.                                     USA
  19.  
  20. For Visa/MasterCard orders, you may send E-Mail to:
  21. 1) idm@idmcomp.com
  22. 2) CompuServe 71613,2654
  23. or you may order by FAX/Telephone by calling (513) 779 8549.
  24. ----------------------------------------------------------------------------
  25. Please provide the following information:       Date:
  26.  
  27. Name_____________________________________Company____________________________
  28.                                          (if company registration)
  29. Address_____________________________________________________________________
  30.  
  31. Address_____________________________________________________________________
  32.  
  33. City_____________________ State/Prov.______________Zip/Post Code____________
  34.  
  35. Country_____________________________________________________________________
  36.  
  37. Phone Number__________________________ E-Mail_______________________________
  38.  
  39.  
  40. Where Did you get UltraEdit/UltraEdit-32 ?  ________________________________
  41.  
  42. Please check,     ____ UltraEdit  ____ UltraEdit-32
  43.  
  44. Quantity: ____  Cost Each: ____                               Total:________
  45.                 ($30.00 single license cost -
  46.                 Ohio residents add $1.65 Sales Tax)
  47.  
  48. Additional Spelling dictionaries: $3.00/Dict. - Free if downloaded from www.
  49.  
  50. English (British)___    Dutch___  Finnish___  French___  German___ 
  51.  
  52. Italian___  Spanish___  Swedish___                            Total:________
  53.  
  54. *** NOTE - Please call or e-mail for site licenses and discounts
  55.  
  56. Payment Method:
  57.  
  58. __ Check/Money Order __ VISA __ MasterCard __American Exp. ____ Cash  ____ Other
  59.  
  60.  
  61. Credit Card #_______________________________________ Expiration Date__________
  62.  
  63. Signature ____________________________________________________________________
  64. (Only required for credit card or purchase orders that are mailed or FAXED)
  65.  
  66. Thank you for registering UltraEdit/UltraEdit-32.
  67.