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#           CDEveryWhere Mac OS X Version Order Form                     #
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This is the order form for the license key of CDEveryWhere.
We accept the payment in three ways, 1)check, 2)money order, 3)credit card.

You may mail this form along with the payment to the address:

    Interactive Information R&D, LLC 
    6345 South 56th Street; Suite 300
    Lincoln,  NE  68516,  USA



Or if you are using the credit card, you may facsimile this form to 
(402) 420-5029 along with the credit card information.

NOTE: Prices at our web-site: http://www.cdeverywhere.com may differ from
the ones below.  If so, please change the prices in the chart to the ones
at our web-site.  The currency is in the US dollars.
+------------------------------------------+---------+----------+--------+
|             Product Name                 |  Price  | Quantity | Amount |
+------------------------------------------+---------+----------+--------+
|   CDEveryWhere Professional Edition      | $295.95 |          |        |
+------------------------------------------+---------+----------+--------+
|   CDEveryWhere Standard Edition          | $195.95 |          |        |
+------------------------------------------+---------+----------+--------+
|   CDEveryWhere Personal Edition          |  $39.95 |          |        |
+------------------------------------------+---------+----------+--------+
|                                                     Subtotal  |        |
+---------------------------------------------------------------+--------+
|                          Nebraska residents add 7% sales tax  |        |
+---------------------------------------------------------------+--------+
|                                                   Total(USD)  |        |
+---------------------------------------------------------------+--------+

User Registration Information
-----------------------------
This information is used to create your license key.  Email is required.
Company, or First and Last Name are required.  Phone # is required.
Your activation license key will be set to the email address registered.

Company: __________________________________________________________________

First Name: _______________________  Last Name: ___________________________

Email Address: ____________________________________________________________

Phone Number:  ____________________________________________________________

Contact Address
---------------
You will not be sent any tangible material such as a CD or manual book.

First Name: _______________________  Last Name: ___________________________

Email: (Required) _________________________________________________________

Address: __________________________________________________________________

City: ________________________________ State/Province: ____________________ 

ZIP: ________________ Country: _________________

Phone: ____________________________ Fax: _________________________________

Billing Address (if different from Contact Address)
---------------

First Name: _______________________  Last Name: ___________________________

Address: __________________________________________________________________

City: ________________________________ State/Province: ____________________ 

ZIP: ________________ Country: ____________ 

Phone: _____________________________ Fax: _________________________________

Credit Card Information
-----------------------
If you wish to pay by a credit card, please fill in the information below.
(Required to process order)

Name on Credit Card: ______________________________________________________

Credit Card Number: _______________________________________________________

Credit Card Type: ____________________________ (i.e. VISA, MasterCard etc.)

Expiration date: ______________



Signature: ___________________________________