Print Screen for Windows 1.3 Order Form and Registration

Name     ______________________________________________

Address  ______________________________________________

City        ____________________________ State ______    Zip __________

Phone (optional) (______) ______-________

Important:  Is this your first product from American Systems?  (  )Yes  (  )No

Disk size:      ____   5 1/4"     ____   3 1/2"

_____   Number of Copies of Print Screen For Windows

x $19.95  = $ ____________

Amount enclosed:  $ ____________    (TEXAS residents add 7 1/4% sales tax.)

Make checks and money orders payable to American Systems.

P.O.s welcome!         Bulk pricing is available.

Mail to :  

     American Systems
     7016 Thomas
     Fort Worth, TX 76148
     Care of Windows Utilities Division

Signature:         _________________________________________________

Orders shipped within 24 hours.

Did you get your evaluation copy from:

(  ) Vendor
(  ) BBS
(  ) CD-ROM
(  ) Friend
(  ) Other

Name of source _________________________________________________

Note: Prices are effective Feb 1, 1994 and are subject to change.

Please enclose any comments you have.