SINGLE COMPUTER LICENSE $25

Name:  _______________________________________________

Organization (if applicable):  _____________________________________________

Address:   ___________________________________________________

City:  ___________________________  State:  ___________  Zip:  _____________

Country:  __________________  email:  ____________________________________

CSI Code:  ________________________________________
(as shown in Entry LE's "About..." box.  MAKE SURE THIS NUMBER IS CORRECT!)

Circle One:      CHECK        MONEY ORDER          Amount Enclosed:  ________ 

TERMS:
  Payment must be made in U.S.A. funds.  Check or money order must be 
  drawn on a U.S.A. bank.  ALL SINGLE COMPUTER LICENSES ARE PREPAID ONLY.  
  Make remittance payable to Chris M. Marshall.  Prices and terms subject to 
  change without notice.

Choose One:
  ___  I would like to be contacted regarding EliteSys product updates and services.
  ___  Do not contact me unless absolutely necessary.

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