Registration for Microqwk Offline Mail Reader ver 1.5a TO: FROM: Joe Hardy Name: __________________________________ 2111 38th St. Des Moines, IA 50310 (Company): __________________________________ (Title): __________________________________ Address: __________________________________ City,State: __________________ _____ _________ Zip Code Country: _________________________ Phone Number: _________________________ Fax _________________________ *** MicroQwk version 1.5a *** Registration Fees * 5.25 Diskette with Documentation for one computer ...... $10. ______ ( add $1 extra per 3.5 diskette ) ______ NOTE : You must specify a high density disk or you will receive a double density disk * Commercial site license for the use of MicroQwk (Includes 3.5 and 5.25 diskette with programs & documentation files.) 2 to 15 computers ... at $8 each # computers ___x 8 ______ 15 to 49 computers ... at $6 each # computers ___x 6 ______ 50 or more computers... at $5 each # computers ___x 5 ______ plus Shipping and Handling.. $ 4.00 Total ................. $ ______ * Note : No registrations will be processed that do not include shpping and handling fees ! Make all checks or money orders payable to Joe Hardy.