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|Safety Disk tm  Version 3.01                 Shareware Registration Order Form|
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|We offer discounts on quantity orders, multiple-user licenses, and dealer     |
|pricing.  Please call for details.  We accept Visa, MasterCard, American      |
|Express, company or personal checks.  You can use this handy order form       |
|to order by MAIL.                                                             |
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|     VOICE: (415) 882-1740, Mon. - Fri., 9:00 a.m. - 5:00 p.m. Pacific.       |
|       FAX: (415) 882-1733                                                    |
|       BBS: (415) 882-1735, 8N1, 1200 - 14.4K bps                             |
|COMPUSERVE: PCVENB FORUM, section/library 13                                  |
|  INTERNET: www.fht.com/hyper.html   EMAIL:  support@fht.com                  |
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|Mail to:  HyperWare                                                           |
|          185 Berry Street                                                    |
|          San Francisco, CA  94107  USA                                       |
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| QTY                                                                TOTAL     |
|                                                                              |
|____ copies of Safety Disk 3.01 @ $49.95 ea                       $ ______    |
|                                                                              |
|California Residents, please add Sales Tax (TOTAL x 8.50%)        $ ______    |
|                                                                              |
|Shipping:  US Priority Mail (USA Only) . . . . . . . . .            $4.95     |
|           FEDX Priority Overnight (USA Only). . . .add $10.00    $ ______    |
|           C.O.D. orders, (USA only) . . . . . . . .add $ 5.00    $ ______    |
|                                                                              |
|           Canada/Mexico . . . . . . . . . . . . . .add $ 2.00    $ ______    |
|           International Locations . . . . . . . . .add $ 5.05    $ ______    |
|                                                                              |
|                          Total (U.S. Funds drawn on U.S. Bank)   $           |
|                                                                    ======    |
|                                                                              |
|Payment by: (  )CHECK    (  )MC     (  )VISA    (  )AMERICAN EXPRESS          |
|                                                                              |
| Name: _______________________________________________________________        |
| Company (ONLY if company address):___________________________________        |
| Address: ____________________________________________________________        |
|        : ____________________________________________________________        |
|        : ____________________________________________________________        |
|                                                                              |
|Voice Phone: _________________________ Home Phone:_____________________       |
|                                                                              |
|Fax orders: Country Code and number:___________________________________       |
|                                                                              |
|Credit Card #: _____________________________ Exp. Date: _______________       |
|                                                                              |
|Signature of cardholder: ______________________________________________       |
|                                                                              |
|                Prices and terms subject to change without notice.            |
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