Order Form USA

WSKA HTML WWWrite

Standard Edition



United States of America


USA
Download regular updates from:
ORDER
http://www.pik.com
FORM


Pik A Program (tm)


13 Saint Marks Place
NY, NY 10003
USA
TOLL FREE (ORDERS ONLY)
1-800-TOREGISTER (867-3447)
Telephone (212) 598-4939
Fax (212) 228-5879
Compuserve: 74777,3233
Internet: 74777.3233@compuserve.com

WSKA HTML WWWrite - Standard Edition: Order Form - Version 1.0

Press CTRL+W to print


THANK YOU FOR REGISTERING YOUR SHAREWARE!

Important: If you are ordering by mail, e-mail, or fax, please completely fill out this form and send it in. Please write legibly, and if you fax your order in, please use black ink for a clear transmission. If you are sending a check or money order, please make sure that payment is made in US funds drawn on a US bank.
Technical support is not available from Pik A Program. For any technical help, please contact Windowshare directly online:
CompuServe: GO WSHARE
Internet: WSKA.COM

You may mail, fax, e-mail, or phone in your order. Please send the completed registration form, along with payment to Pik A Program, Inc.
Registered users will receive a password to a ZIPped file through the InterNet. Updates to registered version will be announced through e-mail, and DLable from our Internet site.

________________________________________________________
(Name)

________________________________________________________
(Company)

________________________________________________________
(Street1)

________________________________________________________
(Street2)

________________________________________________________
(Town) (State) (Zip)

________________________________________________________
(Telephone) (Fax) (Country if outside USA)

________________________________________________________
(e-mail - Compulsory!)

Shipping is optional. If you would like to receive a diskette with the program, just say so, and add $4.00 to your order to cover shipping. If you only want the code to unlock the program e-mailed to you, don't add the shipping, but be sure to include your e-mail address.


QUANTITY ITEM PRICE EACH TOTAL
--------------------------------------------------------------------------
W3rite For Windows US $49.95 US$
--------------------------------------------------------------------------
Shipping (optional) US $ 4.00 US$
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TAX (NYS residents only) ___ % US$
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TOTAL: US$
================
Shipped orders are sent on 3.5" diskettes unless otherwise requested.
Prices are good through 12/96, subject to change thereafter.
I am paying by:
( ) CHECK ( ) VISACARD ( ) MASTERCARD ( ) AMERICAN EXPRESS
( ) CASH (by registered mail only, please) ( ) DISCOVER CARD

Number ______-______-______-______ Exp. date ___-___


We would appreciate it if you would tell us where did you first heard about this program. Thanks for your cooperation.
[] BBS/Online service - which one?______________________________________
[] Friend [] retail store package [] CD-ROM ______________________
[] magazine - which one?_________________________________
[] other - ______________________________________________

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