ZipShell Registration Form -------------------------- Please print clearly. Name: ________________________________________________ Company: ________________________________________________ Address: ________________________________________________ ________________________________________________ City: ___________________ St: ______ ZIP: __________ Home Phone:(_____) _____________ Work Phone:(_____) _______________ ___________________________________________________________________ 1 diskette with programs and documentation files: $25 _____.____ - OR - Commercial site license for the use of ZipShell. (includes 1 copy of program and documentation files which may be installed on the following number of computers) 2 to 9 computers @ $23 each; # computers ___x $23 = _____.____ 10 to 24 computers @ $19 each; # computers ___x $19 = _____.____ 25 to 49 computers @ $15 each; # computers ___x $15 = _____.____ 50 to 99 computers @ $12 each; # computers ___x $12 = _____.____ 100 to 199 comptrs @ $10 each; # computers ___x $10 = _____.____ 200 or more computers......$2000 one time fee _____.____ Disk Size (choose one): [ ] 5.25" (1.2M) [ ] 5.25" (360K) [ ] 3.5" (720K) Washington residents please add appropriate Sales Tax: _____.____ Shipping @ $2.00 per copy (U.S. addresses only): _____.____ Total: _____.____ Please enclose a check or money order made payable to NewVision. (Checks must be drawn on a U.S. bank.) Where did you get your copy of ZipShell? ____________________________________________________________________ Send to: NewVision 800 5th Ave #382 Seattle, WA 98104 (please allow 2 to 3 weeks for delivery)