CHOP (R) Registration Form Please send check or money order to: MC Software S56 W29687 Roanoke Drive Waukesha, WI 53188 Any questions about refunds, options registering, details of new products, technical support, volume discounts, dealer pricing, site licenses, etc, must be directed to the address above. Site licenses: A site license for CHOP entitles an organization to receive full documentation and the latest version on a diskette of your choice. For the specified license fee, the organization will be able to duplicate the diskette and manual for the specified number of copies. Please check one: 5.25" Disk ____ 3.5" Disk ____ CHOP individual copy: Quantity ___ @ $ 10.00 ea. = ___________ Site license for up to 10 copies: $ 57.00 = ___________ Site license for up to 50 copies: $ 242.00 = ___________ Site license for up to 100 copies: $ 471.00 = ___________ (more than 100 copies are negotiable) Shipping & handling (outside USA) $ 10.00 + ___________ Total payment ___________ Payments must be in US dollars drawn on a US bank. Prices guaranteed through Oct 1993. Please write for information on updated prices. Please note that this program is SHAREWARE and must be registered. Name: ___________________________________________________ Company (optional): ___________________________________________________ Address: ___________________________________________________ City, State, Zip: ___________________________________Country: _______ Day Phone: ____________________ Eve: _______________________ Signature: ______________________Date:________________________ Electronic Mail address: ______________________________________________ Comments: