
                 ClientWare Pool Manager Order Form
                         PsL Product #15156

    
  NAME_______________________________________________________

  ADDRESS____________________________________________________

        _____________________________________________________

  CITY_______________________________________________________

  STATE________________________	ZIP__________________________

  EMAIL ADDRESS______________________________________________

  DATE & TIME INSTALLED _____________________________________
     (Displays on About window from the Help menu option)

  HOME PHONE___________________ WORK PHONE___________________

  FAX NUMBER___________________

  
  PLEASE CHECK ONE:
 
     SEND ME THE POOL MANAGER PASSWORD (EMAIL)   ____

     SEND ME THE POOL MANAGER PASSWORD (US MAIL) ____

     SEND ME POOL MANAGER SOFTWARE AND PASSWORD   
	  3.5" DISKETTES FOR WIN 3.1 (16-bit)    ____
                      < OR > 
          3.5" DISKETTES FOR WIN 95  (32-bit)    ____


  How did you hear about ClientWare Pool Manager?

      ___ America Online
      ___ CompuServe
      ___ Other _____________________________________________	


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          Pool Manager 97	              $27.95

          WI residents (5.1% Sales Tax)       ______

          Shipping and Handling               ______
            $ 0.00 no diskettes
            $ 6.00 diskettes via U.S Mail within U.S
            $10.00 diskettes via U.S Mail International
            $15.00 diskettes via overnight delivery within U.S
                                             ________
	  Total Payment                     |        |
                                            |________| 
                                        

PAYMENT METHOD:
 
     ___ BY CREDIT CARD: 

*****>>>> Only accepted thru PsL, our credit card order
*****>>>> service provider. See read1st.txt for details
*****>>>> on variety of methods for contacting PsL.

         Card Type          MC    ____   Visa      ____ 
                            Amex  ____   Discover  ____

	 Name on Card       ___________________________

	 Credit Card Number ___________________________

	 Expiration Date    ___________________________


     ___ BY CHECK:
         Make checks payable to: ClientWare Corporation
	 		 	 N106 W17113 Juniper Dr
	   			 Germantown, WI 53022                
          

        



