REGISTRATION INVOICE FOR IMPROCES, SVGA IMAGE PROCESSOR Make all checks and money orders out to: John Wagner Remit all payments to: John Wagner 6161 El Cajon Blvd Suite B-246 San Diego, CA 92115 Please do not change this code: ORIG-DDBBS Name:______________________________________________________________ Company:___________________________________________________________ Address:___________________________________________________________ City:__________________________ State:__________ Zip:______________ Optional: Version number of IMPROCES you are currently using:________________ Where did you obtain your copy of IMPROCES?________________________ Prices are shown in U.S. Dollars. Please ensure that your check is in U.S. Dollars, drawn from a U.S. bank. Disk Size: _____ 5 1/4" 360K _____ 3 1/2" 1.44 meg Quantity Price Ea. Total _______ IMPROCES 25.00 _____ California Residents add State Tax _____ Outside of North America 10.00 _____ Total Enclosed _____________ Credit Card orders: NAME ON CARD:__________________________________________ VISA CARD #:___________________________________________ MASTER CARD #:_________________________________________ CARD EXPIRATION DATE:__________________________________ MUST BE INCLUDED FOR PROCESSING!!! Authorizing Signature:____________________________________ Note: Prices are for SINGLE USE ONLY licenses. A SITE LICENSE is available, contact John Wagner for more information. Thank you for registering IMPROCES!