Quick Launch Copyright (c) 1993 by C. Michael LaMantia - All rights reserved. Quick Launch 1.0 Registration Form/Invoice Ordering by check: To order by check send this order form and a check to C. Michael LaMantia, 1891 Braeburn Park Drive, Euclid, Ohio 44117. Payments must be in US dollars drawn on a US bank. Alternately, you can send international postal money orders in US dollars. Site licenses: a site license for Quick Launch entitles an organzation to receive one copy of the distribution package and duplicate the distribution disk for the specified number of copies. Quick Launch Single Copy ____ copies at $5 each = ______ (without Source Code) Quick Launch Single Copy ____ copies at $25 each = ______ (with Visual Basic 3.0 Source code on Disk) Quick Launch Site License 2 to 9 computers: ____ computers at $4 each = ______ 10 to 24 computers: ____ computers at $3 each = ______ 25 to 49 computers: ____ computers at $2 each = ______ 50 to 99 computers: ____ computers at $1 each = ______ (more than 99 copies are negotiable) Total payment ______ Prices guaranteed through December 1994. Name: ______________________ Date:___________ Company: _______________________________________ Address: _______________________________________ City, State, Zip: _______________________________________ Country: _______________________________________ Day Phone: ______________ Eve: _________________ Electronic Mail address: ________________________________ How did you hear about Quick Launch? __________________________ Comments: Any questions about the status of the shipment of an order, refunds, registration options, product details, technical support, volume discounts, dealer pricing, site licenses, etc., must be directed to C. Michael LaMantia, 1891 Braeburn Park Drive, Euclid, Ohio 44117 or by Compuserve E-Mail (72621,1372).