UPDATE registration form
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Please print clearly.  The numbers refer to the description in REGISTER.TXT.
Fields with a * have to be filled.


I would like to register UPDATE, PsL product number ...:

 1)*                Name:
 2)  Company/Institution:
 3)*             Address:
 4)*                    :
 5)*                    :

 6)* email address/phone:
 7)*  preferred password:

 8) [   ] single user licenses of $50 for a total of:               $ _____
 9) [   ] server licenses of $350 for a total of:                   $ _____

10) Email the latest version of UPDATE to me [ ].

11) Send me UPDATE on 3 1/2"  diskette for $10:                     $ _____
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12) Sum:                                                            $ _____
13) VAT:                                                            $ _____

14) Total:                                                          $ _____
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Please charge the above to my credit card:

15) Please circle one: VISA/MC/AMEX/DISCOVER
16) Card number:
17) Expires:    /

18) Name of cardholder:
19)    Billing address:


20)       Bank:
21) Bank phone:

22) Cardholders signature:
