
Dutch's Client Side Image Maps v4.0 .

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SITE LISECE ORDER FORM
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Company Name:

Address:

E-Mail address to send download information:

Users:

	     1          user:    1    user at $19.99 each  = ______
	     2 to   9  users: 	____ users at $18.99 each  = ______
	    10 to  24  users: 	____ users at $17.99 each  = ______
	    25 to  49  users: 	____ users at $16.99 each  = ______
	    50 to  99  users: 	____ users at $15.99 each  = ______
	    Over  100  users: 	____ users at $14.99 each  = ______


				           Total Amount Enclosed $ ______


How would you like to receive the Dutch's Client Side Image Maps v4.0?

	(  )  HTTP (Please remember to give an e-mail address.  
	      The location of the archive or an ID will be sent to this e-mail address.)

	(  )  MAIL (Please add $3.00 for shipping and handling)


Where did you hear about Dutch's Client Side Image Maps v4.0?


Comments:


Please mail this form with cash, check, or money order to:

 Davor Ilic
 2-A E.Turnbull Ave.
 Havertown, PA 19083
 U.S.A.

Thank you for purchasing Dutch's Client Side Image Maps v4.0 !

