Category : Network Files
Archive   : TIM_SY.ZIP
Filename : REGFORM.DOC

 
Output of file : REGFORM.DOC contained in archive : TIM_SY.ZIP

Registration Form Shareware programs Jovandi International, Inc.


send to : Jovandi International, Inc.
233 Peachtree Street, NE suite 404
Atlanta, GA 30303

Tel. (404) 523-1772
Fax. (404) 522-7116


Product Name: _________________________________________________________


Company Name: _________________________________________________________

Licensee Name: _________________________________________________________

Address: _________________________________________________________

City: _________________________________________________________

State: _________________________________________________________

Zip: _________________________________________________________

Tel: _________________________________________________________

Fax: _________________________________________________________

Signature: _________________________________________________________



Hereby I order _____ (* x) copies of ________________________(product name)

I have a cheque enclosed with this order for the proper amount.


Pricing is: TM.NLM & TS.NLM registration.........$ 25.00
US-Shipping & Handling...............$ 4.00
Other-Shipping & Handling............$ 6.00

Georgia residents..(add sales tax)