
          Registration for Microqwk Offline Mail Reader ver 1.6


TO:                           FROM:

Joe Hardy                     Name: __________________________________
2111 38th St.
Des Moines, IA 50310     (Company): __________________________________

                           (Title): __________________________________

                           Address: __________________________________

                        City,State: __________________ _____ _________
                                                              Zip Code
                           Country: _________________________

Phone Number: _________________________  Fax: _________________________

BBS Name: _________________________  BBS Number: ______________________ 
  
  
                     ****   Registration Fees   ****

* 5.25 Diskette with Documentation for one computer ...... $10.  ______

 ( add $1 extra per 3.5 diskette )                               ______

 NOTE : You must specify a high density disk
 or you will receive a double density disk 

* Commercial site license for the use of MicroQwk
(Includes 3.5 and 5.25 diskette with programs & documentation files.)
  2 to  15 computers ... at    $8 each  # computers ___x    8   ______
 15 to  49 computers ... at    $6 each  # computers ___x    6   ______
 50 or more computers... at    $5 each  # computers ___x    5   ______


                                 plus Shipping and Handling.. $  4.00

                                      Total ................. $ ______

* Note : No registrations will be processed that do not include shpping
and handling fees !

Make all checks or money orders payable to Joe Hardy.
