Computer Geek Registration Form

Ordering by check:  To order by check, send this order form and a
check for $19.95 + $2.95 ($7.95 international) s&h and applicable 
sales tax (for Florida residents only) payable to Nanoware, Inc. 
to the address:

     Nanoware, Inc.
     PO Box 7468
     Seminole, FL  33775-7468

Payments must be in US dollars drawn on a US bank.  

Diskettes are only available in 3.5in HD format.

CompuServe Registration:  To have the registration fee added
to your CompuServe bill "GO SWREG" and follow the menus.  
The Computer Geek Test's registration id is 12991.

Foreign Orders:  Orders outside of the United States of
America will be accepted as long as payments are in US dollars 
drawn on a US bank or placed via CompuServe SWREG.

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        ____  copies at $19.95 each        = ______
	
              s&h ($2.95 US, $7.95 intl)   = ______	
           
              Sales Tax(FL only)           = ______

              Total                        = ______

     Notes - Florida Residents, please add applicable sales tax.
 

  
     Name: ______________________ Date:___________________

     Company: ____________________________________________

     Address: ____________________________________________

     City, State, Zip: ___________________________________

     Electronic Mail address: ____________________________

     Where did you hear about the Nanoware Geek Test?


     Comments: