Date -

VERSION OF WINDOWS ON WHICH STORMWINDOW IS TO BE USED -

Name of Individual Person (for Individual License) -
(OR)
Name and Location of Registered Institution (for Site License) -

(If multiple buildings, please list on the back of this form.)

Name of Contact Person -

Mailing Address -
Mailing Address -

Telephone Number (with Area Code) -

E-Mail Address -

Please fill in the appropriate line with the payment amount -

One Individual License @ $30.00 = $____.00 ($40.00 for diskettes)

(Or) Site License(s) @ $120.00 = $_____.00 ($130.00 for diskettes)

(IF DISKETTES ARE REQUIRED, THE COST IS $10.00 ADDITIONAL.)

(Massachusetts residents: Please include 5% state sales tax.)

Please send this form, along with payment or purchase order to:

Cetus Software Inc.
Post Office Box 1450
Marshfield, MA 02050, USA

CETUS SOFTWARE THANKS YOU FOR YOUR STORMWINDOW REGISTRATION.