Registration: TEST GENERATOR/COMPUTER ADAPTIVE TEST SOFTWARE
                                       

Thomas B. Wiggers
Software for Educators
528 Cliffview Drive
Brandon, Ms.  39042
Tel. (601) 992-1373


PURCHASE ORDER #:


Registrant Name:  ______________________________________________

Address:          _____________________________________________________
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                   QTY       DESCRIPTION          UNIT      EXTENDED
                                                  PRICE     PRICE

                    1        Test Generator       $60.00    $60.00



                                           Total all Items: $60.00


Terms:     Balance Shown is payable within 30 days.
           Checks should be made payable to Thomas B. Wiggers.


Site License Information
Site licenses are available as follows:    
        a)   $500.00 for up to 15 copies of the software on multiple computers.
        b)   $800.00 for unlimited copies of the software on multiple computers 
              within the same administrative division.