MATH387 v 1.0 Registration Form
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       Name: ______________________________________________________

    Company: ______________________________________________________

    Address: ______________________________________________________

       City: ___________________________ State: ___________________

    Country: _______________________ Post/Zip Code: _______________

Your Email Address: _______________________________________________

Where did you obtain
   this program from: _____________________________________________

Payment:    All amounts are in US DOLLARS but other currencies to an
=======     equivalent amount are happily accepted.

   MATH387 program:                     ____ copies  = $_______
     1       license   no discount. (US$20.00)
     2 - 5   licenses 20% discount. (US$16.00 each copy)
     6 - 20  licenses 35% discount. (US$13.00 each copy)
     21 +    licenses 50% discount. (US$10.00 each copy)

      Cash (any currency accepted)  No extra charge    $ 0.00

      Check or Money Order (bank charges) Add US$4.00  $_______
      (personal checks will be accepted)

                                                Total  $_______

Please specify your disk size:  (High Density Only)  
Send by Email: ____       Post: 5.25" disk ____  3.5" disk ____

Make your payment to C D Williams, and send it to:

     59 Adams Road
     Hayfields
     Pietermaritzburg
     SOUTH AFRICA     3201

I will send a copy of MATH387, including source code and additional
demonstration programs as soon as I receive your registration.

Comments:
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___________________________________________________________________

___________________________________________________________________

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If you have access to the Internet then I can be contacted at:
  williamc@natburo.kzntl.gov.za   or   williamc@natalia.kzntl.gov.za