================================================================== WebExplorer Organizer V1.x registration form WebExplorer Organizer is Copyright (c) 1996 by ONG SoftWare. All Rights Reserved. ================================================================== Note: Each registration of WebExplorer Organizer comes with only one license for WebExplorer Organizer. Note: Multiple copies require one user name for every copy order. Mail Orders To: Andrew A. Phillips 527 Richmond Hill Road West Apt. M-4 Augusta, Ga. 30906 Make Personal Check or Money Order payable to: Andrew Phillips Personal checks are subject to clearance. Name: ____________________________________________________________ Company: ____________________________________________________________ Address: ____________________________________________________________ ____________________________________________________________ City: _______________________ State/Province: __________________ Country: ____________________________ Postal Code: __________________ Phone: ____________________________________________________________ Fax: ____________________________________________________________ Email: ____________________________________________________________ Product Price Quantity Total -------------------------------------------------------------------- ( Funds below specified in US dollars ) _WebExplorer Organizer V1.x_____ $_15.00__ x ________ = $____.___ Total: $____.___ Shipping (check one): ___ Email ___ 1st Class Mail