*** Account Manager 1.2 Registration Form *** NUMBER OF SINGLE COPIES TO REGISTER _________ x $24.95 per copy (free shipping/handling) x $24.95 NUMBER OF USERS FOR SITE LICENSE _______ Fees: 5 users $109.95, 10 users $199.95, 20 users $349.95, 50 users $699.95, 100 users $999.95 SITE LICENSE FEE (free shipping/handling) _________ NUMBER OF ADDITIONAL MANUALS (site licensees only) _________ x $2.50 shipping/handling fee per copy x $ 2.50 SUBTOTAL _________ TAXES CO residents add 3% sales tax _________ Ft. Collins, CO residents add additional 3% city sales tax _________ TOTAL DUE _________ Specify disk format: [ ] 3.5" 720K [ ] 5.25" 1.2MB Date: _______________ Name: ____________________________________________ Company:__________________________________________ Address: _________________________________________ _________________________________________ City/State/Zip: __________________________________ Telephone #: _____________________________________ E-mail address: __________________________________ (this will be used for an electronic mailing list) Where did you hear about and/or find Account Manager : [ ] From a friend [ ] From USENET Newsgroup : ______________ [ ] An FTP/uucp archive site : ______________ [ ] CompuServe Forum Name : ______________ [ ] BBS Name/Number: _____________________ [ ] Direct Advertisement from Winnovation [ ] Shareware Disk Vendor: __________________ [ ] Other: __________________________________ Return to: Winnovation P.O. Box 271071 Ft. Collins, CO 80527-1071 USA