
                  TreeDiff 1.0 REGISTRATION FORM

                   Date :  ______/______/______


TO:        Christophe Dubourg
           23, rue Victor Hugo
           78370 PLAISIR
           FRANCE

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FROM:
             Name: __________________________________________

    Compuserve Id: __________________________________________

   e-mail address: __________________________________________

[Company / Title]: __________________________________________

          Address: __________________________________________

                   __________________________________________

State / Zip code : ______________________ Country : _________


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 Please check the appropriate box(es), and fill the fields :


 [ ]  TreeDiff on 1 computer .....................  = $____40

 [ ]  TreeDiff PRO on 1 computer .................  = $____80
 [ ]  TreeDiff PRO on 2 computers ................  = $___140
 [ ]  TreeDiff PRO on 3 computers ................  = $___180
 [ ]  TreeDiff PRO on 4 computers ................  = $___220

 [ ]  Site licence (*) ...........................  = $___260

      (*) Site licence is : unlimited number of
      copies of TreeDiff PRO used in one company.

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 [ ]  If check not in French Francs, please add ..... $____40


                                             TOTAL  = $______

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PLEASE INCLUDE THIS FORM WITH YOUR *CASH* OR INTERNATIONAL
POSTAL MONEY ORDER (or your USD CHECK if $40 fees included)
