Desk Clock
Order / Registration Form




Last name: ___________________________________

First name: ____________________________________

Company: ____________________________________

Street and #: ______________________________________

City, State, postal code: ________________________________

Country: _______________________________________

Phone: _____________________________________

Fax: ________________________________________

E-Mail: ______________________________________

*** Please do not forget to include your e-mail address. ***
*** We will use e-mail to communicate with you. ***

Product Quantity
(# of users)
Price
(per user)
Tax
(IL 6.5%)
Total

Desk Clock v1.9 - Standard Edition ________ X $7.95 US + ________ = ________

*** Illinois residents must add sales tax.

Please make your check or money order payable to: Software Maniacs, Inc.
and mail to:

Software Maniacs, Inc.
P.O. Box 1121
Woodstock, IL 60098