
WebLS(TM) Registration and Order Form
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You can register the Freeware Edition of WebLS.  By doing so
you will receive notification of new updates and our regular
newsletter.

	FAX to:       +1 508 897 2784 (anytime)
	or e-mail to: sales@amzi.com  (on Internet)
	or mail to:   Amzi! inc.
	              40 Samuel Prescott Drive
	              Stow, MA 01775   U.S.A.

You can also order the Professional Edition of WebLS.

We accept MasterCard, Visa, American Express, purchase orders 
(from education, government, D&B-listed companies) and checks 
or money orders in U.S. dollars drawn on a U.S. bank.

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REGISTRATION
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Name (first last):

Organization:

Full Mailing Address:




Country:

Phone:

FAX:

E-Mail:

Plese tell us where you learned about WebLS...

__internet search
__and internet site named_____________________________________
__a magazine named____________________________________________
__a dealer named______________________________________________
__mail from___________________________________________________

Please tell us where received/downloaded our product...

__Amzi!
__a BBS______________________________________________________
__a CDROM from_______________________________________________
__an internet site named_____________________________________
__other (please specify)_____________________________________

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ORDER FORM
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Please send me:

___ copies of WebLS Professional Edition at $498 each = ______

                                              Sub-Total ______

               Massachusetts Residents add 5% Sales Tax ______

             TOTAL (all funds payable in U.S. $ please) ______

Make sure you include your e-mail address above as WebLS is
distributed via the Internet.

Payment Method:
__Check (drawn on a U.S. bank)  
__MasterCard  __Visa   __American Express

Card #:       ________________________________________________

Exp Date:     __________

Issuing Bank: ________________________________________________

Signature:    ________________________________________________

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