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      =                   C O N V E R T                          =
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     With this form I want to order Convert 1.0

       Name:    __________________________________________________

       Address: __________________________________________________

                __________________________________________________

       E-Mail:  __________________________________________________

    
     ( )  From demo version (@ 14.00 US$) x ___       @________


     ( ) On diskettes (@ 14.00 US$)       x ___       @________
			(Bought from __________________________
			 serial #    _________________________)
     	and delivered to my address above on diskettes	


     ( ) Through e-mail (@ 10.00 US$) 		      @________
			(Bought from______________
			 serial #    _________________________)
     	and key file delivered by e-mail 
	to the e-mail address ________________________  


	I enclose the payment:
	( ) in cash
	( ) by personal check
	
	To: 	B.Hamerski
		B.P. 85, Succ Cote-Saint-Luc
		COTE SAINT LUC  H4V 1H8
		QUEBEC, CANADA
						__________
	For a total amount of:		TOTAL	|        |US$
						|________|
    
    
                      ___________________________________
                                Date, Signature