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Text File  |  1999-07-16  |  3KB  |  59 lines
  1. Please print this form and mail it along with your payment in a Money Order
  2. (International Money Order if outside the US) or company check, payable in
  3. US dollars to:
  4.  
  5.      Interactive Information R&D, LLC
  6.      4911 Concord Road
  7.      Lincoln, NE 68516
  8.      USA
  9.  
  10. NOTE: Prices are subject to change. Please visit our web site at
  11. http://www.cdeverywhere.com/Order for the most current prices. If they
  12. differ from those below (due to a special promotion, etc.) then use
  13. the web site price in the "Amount" field.
  14.  
  15. +------------------------------------------+---------+----------+--------+
  16. |             Product Name                 |  Price  | Quantity | Amount |
  17. +------------------------------------------+---------+----------+--------+
  18. |   CDEveryWhere Professional Version      | $295.95 |          |        |
  19. +------------------------------------------+---------+----------+--------+
  20. |   CDEveryWhere Standard Version          | $195.95 |          |        |
  21. +------------------------------------------+---------+----------+--------+
  22. |   CDEveryWhere Personal Version          |  $39.95 |          |        |
  23. +------------------------------------------+---------+----------+--------+
  24. |                                                     Subtotal  |        |
  25. +---------------------------------------------------------------+--------+
  26. |                        Nebraska residents add 6.5% sales tax  |        |
  27. +---------------------------------------------------------------+--------+
  28. |                                                        Total  |        |
  29. +---------------------------------------------------------------+--------+
  30.  
  31. Registration Information
  32. ------------------------
  33. This information is used to create your license key. You need to fill in at
  34. least either Company Name or First Name and Last Name.
  35.  
  36. Company: _________________________________________________________________
  37.  
  38. First Name: _______________________  Last Name: ___________________________
  39.  
  40. Contact Information
  41. -------------------
  42. Email address is required. You will not be sent any tangible material such as
  43. a CD or manual. A license key that will activate the features in CDEveryWhere
  44. will be emailed to you.
  45.  
  46. First Name: _______________________  Last Name: ___________________________
  47.  
  48. Email Address: ____________________________________________________________
  49.  
  50. Mailing Address: __________________________________________________________
  51.  
  52.                  __________________________________________________________
  53.  
  54. City: _____________________________________________________________________
  55.  
  56. State/Province: ____________________________________  ZIP: ________________
  57.  
  58. Country: ______________________
  59.