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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