Program Group Fixer(R) 1.0.0 (pgf16) Registration Form/Invoice To order, send this order form and a check or cash to Kramer Software, 158 Usher Road, Madison, AL 35758. Payments must be in U.S. dollars drawn on a U.S. bank, or you can send international postal money orders in U.S. dollars. Site licenses: A site license for Program Group Fixer entitles an organization to receive one copy of the distribution package and duplicate the distribution disk for the specified number of copies. Program Group Fixer Site License 1 computer : at $10 each = ______ 2 to 9 computers: ____ computers at $ 9 each = ______ 10 to 24 computers: ____ computers at $ 8 each = ______ 25 to 49 computers: ____ computers at $ 7 each = ______ 50 to 99 computers: ____ computers at $ 6 each = ______ 100+ computers: ____ computers at $ 5 each = ______ Alabama residents add 8% sales tax + ______ Total payment ______ Prices guaranteed through May 31,1997. Name: ______________________ Date:___________ Company: _______________________________________ Address: _______________________________________ City, State, Zip: _______________________________________ Country: _______________________________________ Day Phone: ______________ Eve: _________________ Electronic Mail address: ________________________________ Email can accept attachments? YES NO Any questions about the status of the shipment of an order, refunds, registration options, product details, technical support, volume discounts, dealer pricing, site licenses, etc., must be directed to Kramer Software, 158 Usher Road, Madison, AL 35758 or by Internet mail to rlkramer@ingr.com.