ORDER FORM *** ORDER FORM *** ORDER FORM

Workshops by Thiagi             Phone: (812) 332-1478
4423 E Trailridge Rd            Fax:   (812) 332-5701
Bloomington, IN 47408-9633      Email: sthiagar@nickel.ucs.indiana.edu
USA

=======================ITEMS YOU WANT=======================

_____ PMView registrations at $40 each

      Name(s): ____________________     ____________________
               ____________________     ____________________
               ____________________     ____________________

      WE MUST HAVE ONE NAME FOR EACH REGISTRATION!

_____ copies of PMView on a disk at $7 each

_____ Indiana State 5% Sales Tax (if your address is within Indiana,
      USA, you must add $2.00 per registration and $0.35 per disk)

_____ total

==================WHERE TO SEND THE ITEMS===================

[ ] E-mail the registration(s) to:
    _______________________________________________

[ ] Mail the registration(s) / disk(s) to:
    _______________________________________________
    _______________________________________________
    _______________________________________________
    _______________________________________________

Note: We can usually e-mail registrations out within a few
days. Allow 4-6 weeks for paper mail.

==========================PAYMENT===========================

[ ] My check or money order, made out in US dollars to
    "Workshops by Thiagi," is enclosed.

[ ] Charge my VISA or MasterCard
    Card number: __________________________
    Expiration date: ______________________
    Signature: ____________________________


BE SURE TO INCLUDE YOUR NAME, ADDRESS, AND E-MAIL ADDRESS (if you
have one) WITH YOUR ORDER.

If you use PGP, you can also encrypt this form and e-mail it to Raja
Thiagarajan. His e-mail address is sthiagar@nickel.ucs.indiana.edu.
You can finger him for his PGP public key, or send him a note asking
for it. PLEASE DO NOT E-MAIL UNENCRYPTED CREDIT CARD INFORMATION TO
US OR ANYONE ELSE!

*** THANKS FOR YOUR ORDER! ***