Pedigree-Draw Order Form

Name	____________________________________________
Affiliation	____________________________________________
Address	____________________________________________
	____________________________________________
City	____________________________________________
State/Prov/Other	____________________________________________
Postal Code	____________________________________________
Nation	____________________________________________
Phone	____________________________________________
E-Mail Address	____________________________________________

Please enter a name and e-mail address for each CD-ROM or Single-User License ordered. The address is required to generate the registration code. If the licenses are for general use, in a classroom computer lab for example, a faux address of the form "name@place" may be specified (e.g. user1@CL101). Use at least 3 characters with embedded @ sign. Attach a separate list for orders of more than 5 copies.

Name (optional) __________________________________ __________________________________ __________________________________ __________________________________ __________________________________		E-mail Address (required) __________________________________ __________________________________ __________________________________ __________________________________ __________________________________

Pedigree-Draw 6 on CD-ROM		_____ x $45 =	$_______
3 or more copies		_____ x $30 =	$_______
Printed User's Guide		_____ x $15 =	$_______
Shipping ($5 US, $10 Int.)			$_______
Pedigree-Draw 6 Single-User License		_____ x $45 =	$_______
3 or more copies		_____ x $30 =	$_______
		Total	$_______

_____	Check	# ____________________
_____	Money Order	# ____________________
_____	Purchase Order	# ____________________
All amounts shown are in U.S. dollars (USD). We cannot accept payment by credit card via this form; please use Kagi, our secure online re-seller.