Registration for Microqwk Offline Mail Reader ver 1.2 TO: FROM: Microduc Software Name: __________________________________ 2111 38th St. Des Moines, IA 50310 (Company): __________________________________ (Title): __________________________________ Address: __________________________________ City,State: __________________ _____ _________ Zip Code Country: _________________________ Phone Number: _________________________ Fax _________________________ *** MicroQwk version 1.2 *** Registration Fee * 5.25 Diskette with Documentation for one computer ...... $5. ______ ( add $1 extra per 3.5 diskette ) ______ * Commercial site license for the use of MicroQwk (Includes 3.5 and 5.25 diskette with programs & documentation files.) 2 to 15 computers ... at $4 each # computers ___x 4 ______ 15 to 49 computers ... at $3 each # computers ___x 3 ______ 50 or more computers... at $2.50 each # computers ___x 2.50 ______ plus Shipping and Handling.. $ 4.00 Total ................. $ ______