CETUS STORMWINDOWS REGISTRATION FORM - PLEASE PRINT CLEARLY

Date ->

Name of Registered User (for Individual License) -


(or) Name of Registered Institution (for Site License) -


(If multiple, list on the back of this form.)

Contact Person ->

Mailing Address ->

Mailing Address ->

Mailing Address ->

Daytime Telephone Number (with Area Code) ->

E-Mail Address ->

Please fill in the appropriate line with the amount enclosed -

One Individual License @ $25.00 = $    .00

(Or)     Site License(s) @ $95.00 = $    .00

(Massachusetts residents:  Please include 5% state sales tax.)

(All of the above prices include shipping and handling costs.)

Please send this form, along with payment or purchase order to:

                 Cetus Software
                 Post Office Box 700
                 Carver, MA 02330, USA

Or fax to 617-834-4411 until Sept. 1, 1997, and 781-834-4411
after Sept. 1, 1997.  (Please note the area code change.)

CETUS SOFTWARE THANKS YOU FOR YOUR STORMWINDOWS REGISTRATION.