IconView Registration Form

Name       ____________________________________

Address    ____________________________________

City/State/Zip ________________________________

Country     ___________________________________

Telephone Number   ____________________________


Quantity _____ * each license $14.95 __________

Washington residents, add sales tax  __________

Shipping and handling 
(see rates below)                     __________ 
						   
				Total __________

Shipping and handling rates:

Country                 Amount

United States           $2.00
Canada and Mexico       $4.00
Other Countries         $7.00


Volume discounts, site licenses can be obtained by contacting 
Brandon Fridley. 


Make checks or money orders (U.S.) payable to: Brandon Fridley

Mail to:

	Brandon Fridley
	P.O. Box 6174
	Vancouver, WA 98668

	Phone  (206) 750-7452

Thank you for your support.

Questionnaire:



Where did you receive your copy of IconView (store, BBS, friend, etc.) ? 




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