Print Screen for Windows 2.0 Order Form and Registration

Name     ______________________________________________

Company  ______________________________________________

Address  ______________________________________________

City        ____________________________ State ______    Zip __________

Phone (optional) (______) ______-________  e-mail _____________________

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  = $ ____________  (TEXAS residents add 7 7/4% sales tax.)

Visa(  ) or MasterCard(  ) 

Number _______________________________________  Exp. Date: _________

Signature:         _________________________________________________

Make checks and money orders payable to American Systems.

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

Mail, Fax or Phone your check or credit card details to :
                                           
     American Systems
     7016 Thomas Pl.
     Fort Worth, TX 76148
     Care of Windows Utilities Division
     Phone:(817)485-6547
     Fax:(817)485-2193

Compuserve: GO SWREG #3695

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 March 1, 1995 and are subject to change.

Please enclose any comments you have.