============================================================================= Please complete the following form carefully, registrations submitted with incorrect registration fees will be returned. We will return the registration signature and latest version of WinFOSSIL for all orders. Please allow 4-6 weeks for delivery via. the postal service. Save money! Internet mail and Fido Net registration return service is available at no additional cost. ============================================================================= Woodruff Software Systems 1020 SW 10th St. North Bend, WA 98045 USA WinFOSSIL (Windows 95 version) Registration Form Your Name :________________________________________________________ Shipping address :________________________________________________________ Include ZIP or Postal Code! :________________________________________________________ :_________________________________ Phone: _______________ TOTALS [__] WinFOSSIL: Windows 95 v1.12 (US $15.00 each) ____________________ Media Type: [__] 3.5" diskette (US $5.00 each) ____________________ [__] Internet Mail address: [________________] [__] Fido Net address: [________________] [__] C.O.D. -- U.S. orders only and requires the 3.5" diskette media type above. (US $3.50 handling) ____________________ [__] International shipping (US $2.00 each diskette) ____________________ [__] Washington state residents must add 8.2% sales tax ____________________ TOTAL AMOUNT OF ORDER ____________________ Method of Payment: [__] Cash (Send US Funds by REGISTERED MAIL ONLY) [__] Check (Must be drawn on a US Bank in US Funds) [__] C.O.D. (U.S. orders only) [__] Money Order (payable to "Woodruff Software Systems") [__] MC/Visa Card #:________________________________ Expiration Date:_______________________ Signature:_____________________________