OutHouse Estimate 
Copyright (C) 1995-96  Anthony Jacob
All Rights Reserved

Registration/Order Form

Ordering by check:  To order by check send this order form and
check to:

	Anthony Jacob
	1204 Franklin Ave
	N. Cape May, NJ 08204

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

Site Licenses: a site license for Estimate entitles an organization 
to receive one distribution disk and copy of the documentation, and a 
license to use the software on the specified number of workstations.

Estimate Single Copy  _________  copies at $95 each = __________
   (Contact me for prices for more than 3 copies)

Estimate Site License
   2 to 9 workstations: _______ workstations at $75 each = __________
   (Contact me for prices for more than 9 workstations)

New Jersey residents add 6% sales tax               
Customers outside U.S. add $3.00 shipping & Handling     + __________
			       
				Total payment              __________

Prices guaranteed through April 1996.

3.5" disks are sent unless a 5.25" disk is requested.

	    Name: _________________________________ Date: ____________

	 Company: ____________________________________________________

	 Address: ____________________________________________________

City, State, Zip: ____________________________________________________

	 Country: ____________________________________________________


   EMail address: ____________________________________________________

Where did you obtain Estimate? __________________________________

Comments:

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