remoteTimeSync ORDER FORM

BY POSTAL MAIL
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To register by postal mail, please mail this form, with 
payment, to:

Rony Elazar & John McAninley
14450 Long Channel Cir.
Germantown, MD 20874
U.S.A.


Date: 
      __________________

Product                                       Price*  Qty Subtotal
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remoteTimeSync Registration	          US$ 10.00*   
                                                      ___ ________

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Total                                                     
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*checks or money order in US dollars payable to: Rony Elazar & John McAninley.


Registration files will be e-mailed immediately upon receipt.


REGISTRATION DETAILS

Name:             
                  _________________________________________________

Internet Mail:    
                  _________________________________________________

Phone Number:	  
                  _________________________________________________

Fax Number:       
                  _________________________________________________


Thank you for your order.
visit our web site: www.puresoftware.com
e-mail: help@puresoftware.com
