CETUS STORMWINDOWS REGISTRATION FORM - PLEASE PRINT CLEARLY

Date ->

Name of Registered User (for Individual License) -


(or) Name of Registered Institution (for Site License) -


(If multiple, list on the back of this form.)

Contact Person ->

Mailing Address ->

Mailing Address ->

Mailing Address ->

Daytime Telephone Number (with Area Code) ->

E-Mail Address ->

Please fill in the appropriate line with the amount enclosed -

One Individual License @ $30.00 = $    .00

(Or)     Site License(s) @ $120.00 = $    .00

(IF DISKETTES ARE REQUIRED, THE COST IS $10.00 ADDITIONAL.)

(Massachusetts residents:  Please include 5% state sales tax.)

(All of the above prices include shipping and handling costs.)

Please send this form, along with payment or purchase order to:

                 Cetus Software
                 Post Office Box 1450
                 Marshfield, MA 02050, USA

Or you may FAX this form to Cetus Software at 781-834-4411.

CETUS SOFTWARE THANKS YOU FOR YOUR STORMWINDOWS REGISTRATION.
