GET/PUT/INSTALL Registration & Order Form

MicroFox Company                        Date ______________________________
PO Box 447                              Internet: 73057.3113@compuserve.com
Richfield OH 44286-0447                     Telephone Orders (216) 659-9489
USA                                             CompuServe Mail: 73057,3113


GET/PUT/INSTALL Registration:  $19 U.S.  Quantity ______  Amount __________

 Multi-User Licenses:  (check one)  (All prices are U.S.)

 10-User   100-User   500-User   1000-User   Unlimited    Amount __________
 $80 ___   $260 ___   $440 ___   $620 ___    $800 ___

Please include Shipping Charges:  $2 USA,  $3 Canada,  $5 Others __________


                                                        Subtotal __________


                              Ohio residents add 6.25% Sales Tax __________


                                                           TOTAL __________


VISA or MasterCard (EuroCard/Access) Number _______________________________

Expiration Date ________  Signature:_______________________________________


Name ___________________________________________ Phone ____________________

Address ___________________________________________________________________

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NOTE  1. All prices shown are in U.S. Dollars.
      2. Remember to include shipping charges on all orders.
      3. Ohio residents, add the state sales tax to the total amount.
      4. If paying by credit card, specify the expiration date and sign it.
      5. if paying by check, make it payable to MicroFox Company.
         USA or Canada:  Make checks in U.S. Dollars or equivalent Canadian
         Dollars.  Other countries: make cheques in your own currency equal
         to the U.S. amount.  Do -NOT- send cheques in U.S. Dollars if they
         not drawn on a U.S. or Canadian bank.
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                          Comments or Suggestions

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