
          Registration for Microqwk Offline Mail Reader ver 1.2


TO:                           FROM:

Microduc Software             Name: __________________________________
2111 38th St.
Des Moines, IA 50310     (Company): __________________________________

                           (Title): __________________________________

                           Address: __________________________________

                        City,State: __________________ _____ _________
                                                              Zip Code
                           Country: _________________________

Phone Number: _________________________  Fax _________________________


  
  
  ***  MicroQwk   version 1.2  ***

  Registration Fee

* 5.25 Diskette with Documentation for one computer ...... $5.  ______

 ( add $1 extra per 3.5 diskette )                              ______


* Commercial site license for the use of MicroQwk
(Includes 3.5 and 5.25 diskette with programs & documentation files.)
  2 to  15 computers ... at    $4 each  # computers ___x    4   ______
 15 to  49 computers ... at    $3 each  # computers ___x    3   ______
 50 or more computers... at $2.50 each  # computers ___x 2.50   ______


                                 plus Shipping and Handling.. $  4.00

                                      Total ................. $ ______
