MagicRegistry Component Order Form:
Full Name: ________________________________________________________
Company Name: ________________________________________________________
Address: ________________________________________________________
City: ________________________________________________________
State/Province: ________________________________________________________
Zip/Postal Code: ________________________________________________________
Country: ________________________________________________________
Phone: ________________________________________________________
Fax: ________________________________________________________
E-mail: ________________________________________________________
Choose one of the following:
Number of additional Licences ___ (each additional CPU $10 per.)
Unlimited Use Licence $50
Source Code and Unlimited Licence $150
Total:
Please make check payable to: Dana Consulting Inc.
Send it to:
Dana Consulting Inc.
14936 CreditView Drive
Savage, MN 55378