SPUTTER Registration Form                 
                                                          
  * Site license for the use of THE SPUTTER SOUND SYSTEM

     1       computer        at $25 each                   x 25   ______
     2 to  9 computers ..... at $20 each    # computers ___x 20   ______
    10 to 24 computers ..... at $16 each    # computers ___x 16   ______
    25 to 49 computers ..... at $13 each    # computers ___x 13   ______
    50 to 99 computers ..... at $10 each    # computers ___x 10   ______
    100 or more computers .. $1000 one time fee                   ______
                                         
    Shipping/Handling for multi-site license disk add $5.00       ______
    Diskette format  5.25" disk ____    3.5" disk ____
    (no disk is shipped for a single site license)

    Make checks payable to VersaWare                       Total  ______
    Massachusetts Tax ID# 5355714

    Staple check to form, then fold on dotted lines & staple closed.
      
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Name     ___________________________________________________________________

Address  ___________________________________________________________________

         ___________________________________________________________________

Phone    Work  (____) ___________________  Home (____)  ____________________

Computer ___________________________________________________________________ 

Sound Equipment ____________________________________________________________

Where did you obtain SPUTTER? ______________________________________________

Comments ___________________________________________________________________

         ___________________________________________________________________

         ___________________________________________________________________

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_________________________________                                     Place

_________________________________                                     Stamp

_________________________________                                     Here



                                         VersaWare / Adrienne Cousins
                                         30 Jennifer Street  
                                         Littleton, MA 01460  U.S.A      


Sputter v1.12