        
        
        
                            SqPrv Order Form
        
                             (Please PRINT)
        
        See Register.Doc for instructions:               Date: __/__/__
        
        Name: _________________________________________________________
        
        Reg.: _________________________________________________________
        
        Netmail to: ___________________________________________________
        
        Crash to: _____________________________________________________
        
        Fax: __________________________________________________________
        
        Address: ______________________________________________________
        
                 ______________________________________________________
        
                 ______________________________________________________
        
        Version: _.___  OS/2 32 ( )  OS/2 16 ( )  DOS 32 ( )  DOS16 ( )
        
        Notes: ________________________________________________________
        
        _______________________________________________________________
        
        _______________________________________________________________
        
        
        
        
