LView Pro 1.9 -- Site Registration Form


1. Company information:

Company Name: ___________________________________________________
Site Address:____________________________________________________
City: ___________________ State: _______________ ZIP: ___________
Country (if other than US): _____________________________________
Phone number: (___)______________ Date (MM/DD/YY): ____/____/____
Authorized representative: ______________________________________
E-mail address (optional):_______________________________________

2. Choice of registered version(s) (check all that apply,
   among the options, up to the total number of copies being 
   registered):

__ 386         Windows 3.1, 16-bit application
__ 486/Pentium Windows 3.1, 16-bit application
__ 486/Pentium Windows 3.1+Win32s/Windows NT, 32-bit application

3. Shipping and Handling (check one):

__ E-mail uuencoded file to: ____________________________________
__ 3 1/2'' DS/DD disks (Shipping and Handling: US: $5.00 per 
                        disk *, Non U.S.: $12.00 per disk *)

* Each version checked in item (2) above will be shipped
  in a separate disk.

4. Payment and fees:

Fees are in U.S. dollars, payments must made in in checks 
or money orders drawn on U.S. banks. Payment must be mailed
together with this form. Please, do not send cash. Make checks 
or money orders payable to:

   Leonardo Haddad Loureiro

5. Pricing for the use of LView Pro 1.9 or newer, per site 
   computer (Write for pricing on quantities over 99 computers):

__  2 to 24 computers at $20 each computer:  ____ x 20 = $______
__ 25 to 99 computers at $17 each computer:  ____ x 17 = $______

__ Total U.S. Shipping and handling (if not E-mail)......$______
__ Total Non U.S. Shipping and handling (if not E-mail)..$______

__ Florida companies add appropriate sales tax...........$______

Total:...................................................$______

6. Mail this form together with payment to:

   Leonardo Haddad Loureiro
   1501 East Hallandale Beach Boulevard, #254
   Hallandale - FL - 33009
   USA