ORDER : Quick Menu Builder PRO


      Name    ___________________________________________________

      Company ___________________________________________________

      Address ___________________________________________________

              ___________________________________________________

      Phone   ___________________________________________________

      E-Mail  ___________________________________________________


      [ ]  Send me my registration key by e-mail
      [ ]  I prefer receive my registration key by regular mail.

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        How many license:

        [ ]  1 user license         	=    ($25.00 USD or 25.00€)	

	Quantity  _______  x  $25.00 USD/€   	=  _________ USD/€
		
                                     ==============================
 
                                         TOTAL  =  _________ USD/€	


        If currency other than USD or EURO is used :

             Currency used :       _____

             Exchange rate :       $1.00 € = __________ _____

             Total for payment :   __________ _____

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	Don't forget to includ with this form a check, with correct
	price, dated, signed, and made out to "Matthieu GODON".
	Then send all (this form + check) to the address below :

	Matthieu GODON
	"QMB"
	B.P.43
	27240 DAMVILLE
	FRANCE
	
	Your registration key will be sent to you as soon as your 
	check will be accepted.

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        Date:                                    Signature: