
                  TreeDiff 1.1 REGISTRATION FORM

                   Date :  ______/______/______


TO:        Christophe Dubourg
           23, rue Victor Hugo
           78370 PLAISIR
           FRANCE

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FROM:
              Name: __________________________________________

   e-mail address : __________________________________________

   [Compuserve Id]: __________________________________________

 [Company / Title]: __________________________________________

           Address: __________________________________________

                    __________________________________________

 State / Zip code : ______________________ Country : _________

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 Please check one of the box(es) below, and fill the fields :
 Prices may be changed without notice.

 [ ]  TreeDiff on 1 computer ....................... = $____40

 [ ]  TreeDiff PRO on 1 computer ................... = $____60

 [ ]  TreeDiff PRO on 2 to 9 computers ..$35 X _____ = $______


 TreeDiff PRO Site licences (*) :

 [ ]  One location ................................. = $___300

 [ ]  2 to 5 locations ................ $250 X _____ = $______

 [ ]  6 to 9 locations ................ $210 X _____ = $______

 [ ]  10 to 19 locations .............. $190 X _____ = $______

 [ ]  20 or more locations ......................... = $__4000


 (*) Site licence is : Unlimited number of computers running
     TreeDiff PRO in one company and in one location.
     (1 location = 1 postal address)
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 [ ]  If payment made by check please add ............ $____20
      (these are bank fees for checks not in french francs)


                                             TOTAL  = $_______

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PLEASE INCLUDE THIS FORM WITH YOUR *CASH* OR INTERNATIONAL
POSTAL MONEY ORDER (or your USD CHECK if including $20 fees)
