Registration Form  - The Win Stop
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Send to:      Tamalpais Technologies
	      c/o WinStop
	      P.O. Box 125
	      Larkspur, CA  94977
	      Fax: (415) 927-4619

Name:         _________________________________________

Title:        _________________________________________

Company:      _________________________________________

Address 1:    _____________________________________________________

Address 2:    _____________________________________________________

City:         _____________________________ State: ________ Zip: _____________

Country:      _____________________________ (if outside the U.S.)

Phone Number: _____________________________

Disk Size:          5 1/4       3 1/2       (Circle One)

Method of Payment:  _____ Check (Inclosed)    

		    _____ COD (add $2)  

		    _____ Bill Me!  (Send an Invoice)  (PO Number ____________)


                    _____ VISA / MASTERCARD (Circle one)
                    
                    Name on Card: ___________________________________________


                    Credit Card Number: _____________________________________

                             Exp. Date: ________                                        

                    Signature: ______________________________________________


Please register me for:

	______________ 1 copy at $29        

	Site License for:

	_______________ 2 to 50 users at $49.00

	_______________ 51 to 100 users at $89.00

	_______________ 101 to 150 users at $129.00

	_______________ Site License - Over 150 users at $169.00


				       Order Total:   __________________
				
							   $2.50
			     Shipping and Handling:   __________________
	
		   California? (add Sales Tax 7.25%)  __________________

				  COD? (add $2.00)    __________________
 

					     Total    __________________

				

Where did you hear about the WinStop?


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Any comments about the product (New features you'd like to see?)


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