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  1. Software  Registration
  2. Advanced Concepts, Jason Pierce
  3. 204 Vley Rd.
  4. Soctia, NY 12302
  5.  
  6. Name:___________________________
  7. Company Name:_____________________________
  8. Address:_________________________
  9. City:________________________    State:________   Zip:__________
  10.  
  11.  
  12. Number                    Type                                                                     Cost                Extended
  13.                                     Single License, 2 User                                    $29.00                    
  14.                                     Single License, 1 User                                    $22.00                  
  15.                                     Each Addtl. License                                            $12.00                           
  16.                                     Site License                                                                 $200.00              
  17.                                     Educational License, 2 User                    $12.00               
  18.                                     Educational License, 1 User                    $12.00               
  19.                                     Educational Each Addtl. License        $9.00                 
  20.                                     Educational Site License                             $100.00                
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  23.                                                                                                                                                 Total                   
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  25. Make Check or Money Order payable to: Advanced Concepts
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