SIGREADER Version 1.0
     
     Please return this form and your remittance to:
     
     SIG Software
     Stan Grossman
     9074 Andromeda Drive
     Burke, VA  22015-3510
     USA
     
     
     Ship to:
     
     Name:          ________________________________________________________
     
     
     Company:       ________________________________________________________
     
     
     Address:       ________________________________________________________
     
     
     	            ________________________________________________________
            
    
     
     Phone (Day)    ________________________________________________________
     
     
     Phone (Night)  ________________________________________________________
     
     
     CIS#	    ________________________________________________________
     
     
     
     
     Please send me:
     
                     _____ Registration numbers @ $20 each.    $ ___________
     
     
                                                 (US Funds drawn on US Bank)
     
     
     Payment may be by check or money order.
     
     
     
     Comments
     
     
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