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SINGLE COMPUTER LICENSE $24.95 Name: _______________________________________________ Organization (if applicable): _____________________________________________ Address: ___________________________________________________ City: ___________________________ State: ___________ Zip: _____________ Country: __________________ email: ____________________________________ CSI3 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. Where did you hear about Entry? _______________________________________________________________________ ------------------------------ DO NOT WRITE BELOW THIS LINE --------------------------- Rec'd: By: Ck#: Enc: K: