REGISTRATION FORM FOR LEARN USA GEOGRAPHY v1.0
                   (Schools and other Educational Institution)

Name of School or District ____________________________________________________

Address _______________________________________________________________________

City __________________________ State/Province ______________ Zip Code ________

Country _______________________

                             
                            SITE LICENSING PRICES

OPTION 1  - $8.00 - Use Learn USA Geography v1.0 on one computer at a time in
          one school.
OPTION 2  - $25.00 - Use Learn USA Geography v1.0 on as many computers as you
          have in one school.
OPTION 3  - $150.00 - Use Learn USA Geography v1.0 on as many schools as you 
          have in one district.  
          * Note - With this option, each school within a district will      
          receive their own personalized version of this program - i.e., the  
          school's name will appear on the title screen of the program.

Please check one of the following plans :
[ ] Option 1                      [ ] Option 2                    [ ] Option 3

Subtotal                                               = ______________________

Texas residents - please add 8.25% sales tax.          = ______________________

Foreign Orders - please add $4.00 Shipping & Handling  = ______________________

Total amount enclosed                                  = $_____________________

Send check or money order (in U.S. dollars) to :
                             Daniel Gonzalez
                             5423 Bakersfield
                        San Antonio, TX  78228-6514

Make check payable to : Daniel Gonzalez.
Allow one week for delivery.  Thank you for purchasing LEARN USA GEOGRAPHY.