
                  TreeDiff 1.x REGISTRATION FORM

                   Date :  ______/______/______


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

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FROM:
              Name: ____________________________________________

   e-mail address : ____________________________________________

 [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 Standard on 1 computer ................ = $____40

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

 [ ]  TreeDiff PRO on 2 to 7 computers ... $40 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 US$ check please add .......... $____32
      (these are bank fees for checks not in french francs)

 [ ]  If payment made by wire transfer please add ...... $____16
      (these are bank fees for wire transfers)

                                               TOTAL  = $_______

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Compuserve registration: please GO SWREG and search for TREEDIFF

PLEASE INCLUDE THIS FORM WITH YOUR *CASH* OR INTERNATIONAL
POSTAL MONEY ORDER (or your USD CHECK if including $32 fees)
