Puzzle Screen Saver
Version 1.30 for Windows 95/NT 4.0 (Septembre 1997)
Copyright (c) Pascal FLEUTOT 1997


With this order form you can buy licenses for the Puzzle Screen
Saver. You will receive by E-mail or mail a number of license for
disabling the "No licensed version" message.


ORDER FORM
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   E-mail: ______________________


     Name: ______________________   First name: ______________________

  Address: ___________________________________________________________

           ___________________________________________________________

           ___________________________________________________________

  Country: ______________________


           I want to order ____ license(s) Puzzle Screen Saver for a

           price of $ 5 US per license that is to say $ _______ US.



Signature:



Only checks ordered to Pascal FLEUTOT are accepted.


Address: Pascal FLEUTOT
         21270 MAXILLY SUR SAONE
         FRANCE