Solar System Simulator

  Registration Form   (All information will be kept strictly confidential)
 
P L E A S E    P R I N T    !!!
Registered to: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

     Note: The above name will appear on the start-up screen when the application loads.
     Please limit the name to 25 characters and print it exactly as you want it to appear.
 
Name: ___________________________________________________________

Company: ________________________________________________________

Address: ________________________________________________________

City: ___________________________________________________________

State/Prov: ______________________________ Zip: _________________

Country: ________________________________________________________

Telephone (not required):  ______________________________________

Email: __________________________________________________________
Number of Licenses: _____  Single User             $ 17.95 (U.S.)
      
                    _____  Multi-user / Network    $ 39.95 (U.S.)
 
Total Payment Enclosed:  ________________________________________

Method of Payment:
        
[   ]  Personal Check (U.S. banks only)
[   ]  Money Order or Bank Check (U.S. banks only)
[   ]  Purchase Order Number: _______________________________
        (Attach P.O.  -  Recognized businesses and institutions only.)
[   ]  Cash (Not highly recommended. Send cash at your own risk.)
 
Remit to:   "Engineering Power Tools"
Send to:     Engineering Power Tools - SimSolar
             33 Woodbryn Drive
             Williamsport  PA  17701
 
 

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