Launchpad 95 Version 0.9 Registration Form/Invoice

Ordering by check:  To order by check send this order form and a
check to 
	Prasad Thammineni 
	120 Stafford St, Suite 201
	Worcester, MA 01603
	USA

With every order of Launchpad 95 you will also receive a free upgrade 
if an upgrade version is released.

Payments must be in US dollars drawn on a US bank, or
you can send international postal money orders in US dollars.

Credit card ordering:  For information on ordering by MasterCard,
Visa, American Express, or Discover by phone, FAX, email, or
postal mail, see the section titled Credit Card Ordering on the
next page of this form.

Purchase Orders:  For information on using purchase orders see the
section titled Purchase Orders on the next page of this form.

Site licenses:  A site license for Launchpad 95 entitles an organization
to receive one copy of the distribution package and duplicate the
distribution disk for the specified number of copies.

Launchpad 95 Version 0.9 Single Copy    ____  copies at $29 each = _____

Launchpad 95 Site License
  2 to   9 computers: ____ computers at $22 each = ______
 10 to  24 computers: ____ computers at $17 each = ______
 25 to  49 computers: ____ computers at $13 each = ______
 50 to  99 computers: ____ computers at $10 each = ______
100 to 199 computers: ____ computers at $ 7 each = ______
Massachusetts residents add 5% sales tax         + ______
                         Total payment             ______
Prices guaranteed through December 1995 or until the release of next 
version whichever is the earliest. 
	
Launchpad 95 is shipped on 3.5" disks only.

            Name: ______________________ Date:___________

         Company: _______________________________________

         Address: _______________________________________

City, State, Zip: _______________________________________

         Country: _______________________________________

       Day Phone: ______________  Eve:  _________________

Electronic Mail address: ________________________________

How did you hear about Launchpad 95? __________________________

Comments:


Launchpad 95 Credit Card Ordering Information:

MasterCard, Visa, American Express, and Discover orders 
accepted.

Credit card orders can be mailed to 

	Prasad Thammineni 
	120 Stafford St, Suite 201
	Worcester, MA 01603
	USA

The following information is required:

Credit Card [ ] MasterCard [ ] VISA [ ] AMEX [ ] Discover

Credit Card Number: _____________________________________

Expiration Date:    _____________________________________

Name On Card:       _____________________________________

Billing Address:    _____________________________________

                    _____________________________________

                    _____________________________________

If your ship-to address is different from the address above
please include the Launchpad 95 order from the previous page.

Purchase Orders:

Purchase orders (net 30 days) are accepted only from government
and accredited educational institutions and major corporations,
provided that they are submitted on purchase order forms with a
purchase order number.  Please be sure to include the standard
Launchpad 95 order form with a purchase order.  Due to the extra work
involved in processing purchase orders you are encouraged to use
a credit card or check when possible for small orders.

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