The form below is used to order any Insight Research product.  Pricing for all
products is as follows: $50 per full product registration, $10 per evaluation
disk, $10 per extra documentation set, and $10 per product update.  Full 
product registrations recieve a printed manual and full technical support. 
Please send orders to:

        Insight Research
        P.O. Box 73734
        Davis, CA  95617-3434

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Company Name: _________________________________________________________________

Last Name:    _____________________________  First Name: ______________________

Billing Addr: _________________________________________________________________
     
              _________________________________________________________________

Mailing Addr: _________________________________________________________________
     
              _________________________________________________________________


Full Registrations:
  Products: __________________________________________________________________
  # of products  _____ X $50.00/product = ________

Evaluation Disks:
  Products: __________________________________________________________________
  # of disks  _____ X $10.00/product =    ________

Extra Product Manuals:
  Products: __________________________________________________________________
  # of manuals  _____ X $10.00/product =  ________

Upgrades:
  Products: __________________________________________________________________
  # of upgrades  _____ X $10.00/product = ________

Shipping & Handling:                      ________
  $5 for Standard ground service, $10 for 2nd day air, $15 for Next day air

COD Handling charge ($5)                  ________

CA Residents add 7.25% Sales Tax:         ________

Total:                                    ________

Payment method:
  ___ Check
  ___ Credit card (Visa and MC only) Card #:_______________________ Exp:______
  ___ COD (add COD handling fee above)
  ___ Purchase order #_______________
