                     Mdesign Order Form
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Ship To: (Please print clearly)

      Name: _______________________________________________

   Address: _______________________________________________

            _______________________________________________

      City: _______________________________________________

     State: _____________________  Zip: ___________________

   Country: ____________________ Phone: ___________________

      Fax:  ____________________________________________

    E-Mail: ____________________________________________

Licensee Person or Organization:

 _________________________________________________________
(Print Clearly-- Name will be displayed on opening screen)

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  Qty.                               Unit Price      Total
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_____  Single User                     $54.00       ________

_____  Classroom site-license         $149.00       ________
        Installation within a
	single classroom-- Maximum
	20 computers. Includes
	permission to reproduce manual.

        Shipping and Handling           $5.00       ________

                               Total enclosed:      ________

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Order with Check or Money Order ONLY. Make checks payable to
AcuLed in US currency drawn on a US Bank.

Mail order to:

     AcuLed
     7808 Littleman Ln
     Apex, NC 27502
     USA
