| SimpleRegistry Control 3.0 Mail Order Form |
| 1. Fill in the form. |
| 2. Print this form. |
| 3. Mail the printed form along with the payment to: |
| 4Developers
LLC, 1030 East El Camino Real #440 Sunnyvale, CA 94087 USA |
| Payments must be in US dollars drawn on a US bank, or you can send international postal money orders in US dollars. Please make checks payable to 4Developers LLC. |
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| SimpleRegistry Royalty Free License |
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copies at $49.95 each = | |
| SimpleRegistry Royalty Free License + Source Code |
1 |
copy at $300 each = |
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Total payment = |
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| Name: | Date: | ||
| Company: | |||
| Address: | |||
| City, State, Zip: | |||
| Country: | |||
| Day Phone: | Eve: | ||
| E-mail: | |||
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