Invoice

Registration of "The MODFLOW Help File"

date________________________________

Your name and address
____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

Your telephone number

____________________________________

Your Fax number

____________________________________

Your email address

____________________________________

Registered users can receive a replacement for the file 
"mfh_reg.jpg" that will indicate that they are registered.
How would you like to receive this file?

1. Send it at no charge as an email attachment encoded via
___ MIME (base 64)
___ UUencoded
___ BinHex

2. Mail it on a diskette for an additional $5.00.
Please indicate the disk size, capacity, and 
platform (Dos, Mac, UNIX).

Disk size _______________________________________

Disk capacity ___________________________________

Platform ________________________________________

3. _____ Do not send it.

                                          No. of copies  Total

Individual registration fee -    $25.00   _____________ _______

Site License -                  $100.00   _____________ _______

Optional charge for mail delivery $5.00                 _______


Total                                                   _______

Make checks payable to LSU Department of Geology and Geophysics and mail to

Richard B. Winston
Dept. of Geology and Geophysics
Louisiana State University
Baton Rouge, La 70803
USA

If you need it the  LSU Department of Geology and Geophysics tax number is 72-6000-848