                   "ProKalc" Site Registration Form
                             Version 5.6
	  
      Return to:           Harold Schwartz
                           P.O. Box 104482
                           Jefferson City, MO   65110

NAME__________________________________________________________________

ADDRESS_______________________________________________________________
		 
______________________________________________________________________

______________________________________________ZIP_____________________

All single copies of ProKalc registered in individual names are priced
at $15.00 U.S. per copy.  Include $1.50 shipping/handling per order.

Site registration is available under the following terms (for site 
registration all copies are registered under a single "site" name):
	    
1 copy. . . . . . . . . . . . . . . . . . . . . . . . $15.00 per copy
2 to 6 copies . . . . . . . . . . . . . . . . . . . . $12.00 per copy
7 or more - up to 15 copies . . . . . . . . . . . . . $8.00 per copy
16 or more - up to 30 copies . . . . . . . . . . . . .$5.00 per copy
		    
An unlimited site license is available for $150.00. Site registration 
orders for 7 or more copies of ProKalc will include 3 diskettes. Each
individual registered under a site license is also registered to use 
one(1) copy of the registered version on a personal home computer.
 
                   Indicate "site" registration name:
                (35 characters maximum, including spaces)

	                  PLEASE PRINT CLEARLY

Site Registration Name:______________________________________________
TERMS:  All payments must be in U.S. funds drawn on a U.S. bank. Check
or Money Order acceptable. Personal checks may be subject to bank 
clearance before shipment. Shipments outside the U.S., add $3.50 ship-
ping and handling. 

I agree to the conditions set forth in the documentation:

(Signature) _______________________________________________________

Where did you get "ProKalc"_________________________________________

