ORDER FORM - SuperClip 4.0 for Windows 95/NT WinSite To become a registered user and receive the Professional Edition, fill out this form and mail, e-mail, or fax to AndroSoft 125 N. Prospect Street Washington, NJ 07882 U.S.A. E-mail: 73140.3340@compuserve.com Tel. 908 689 4412 Fax: 908 689 0047 Name_____________________________________________________________ Company________________________________ Dept.____________________ Address________________________________ City_____________________ State_______________ ZIP_______________ Country__________________ Tel.________________ Fax_______________ E-mail___________________ The registration fee is $39.00 for one personal computer or network server, plus $10.00 for each additional pc or LAN workstation on which SuperClip will be used. Registration fee for one computer or network server: ______$39.00 Additional computers or network workstations x $10 = ____________ Delivery by first-class mail on disk: $1 ($2 outside North America) x number of disk copies required = ____________ Delivery by e-mail as attached zip file containing conversion key and manual, sclip.rtf: ($1.00) ____________ TOTAL: ____________ Check enclosed____ VISA____ MasterCard____ American Express____ VISA/MC/AmEx#_______________________________ exp.________________ Signature________________________________________________________