EliteSys SuperBot Registration Form

EliteSys SuperBot Registration Form EliteSys
639 Northwest 75th Street
Seattle, Washington, 98117-4958
U.S.A.
elitesys@iname.com

EliteSys SuperBot Registration Form

DO print neatly in ink, and fill in every blank. (All information will be kept confidential.)
DO NOT email this form; snail mail only to the address above.

To place a secure order online via credit card, please visit http://web.idirect.com/~elitesys/superbot/index.html#register.

SINGLE COMPUTER LICENSE $19.95

Name:  _______________________________________________

Organization (if applicable):  _____________________________________________

Address:   ___________________________________________________

City:  ___________________________  State:  ___________  Zip:  _____________

Country:  __________________  email:  ____________________________________

Circle One:      CHECK        MONEY ORDER          Amount Enclosed:  ________ 

TERMS:
  Payment must be made in U.S.A. funds.  Check or money order must be 
  drawn on a U.S.A. bank.  ALL SINGLE COMPUTER LICENSES ARE PREPAID ONLY.  
  Make remittance payable to Chris M. Marshall.  Prices and terms subject to 
  change without notice.


Where did you hear about SuperBot?

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