Registration Form

Mail orders to:	Daniel Hyams		
	attn:  CurveExpert 1.3		
	1698 Chadwick Court		
	Hixson, TN  37343		
Ship To:
Name:_______________________________________________________
Company:____________________________________________________
Address:_____________________________________________________
City, State, Zip Code:___________________________________________
Country:______________________________________________________
Day Phone:_______________________Fax:_________________________
Email:________________________________________________________
Where did you hear about this product?_____________________________

Pay By:	[   ] Money order	[   ] Check*		
Media:	[   ] None (Download)	[   ]  CDROM	[   ]  3.5” Floppy	

Pricing:
____copies of CurveExpert 1.3 [32-bit] @ $40.00	$________	
____copies of CurveExpert 1.3 [16-bit] @ $35.00	$________	
		
Shipping, if selected media is CDROM or Floppy:
United States			$2.00 ($1 each additional unit)	$________	
Canada & Mexico		$3.00 ($1 each additional unit)	$________	
Outside North America 	$5.00 ($2 each additional unit)	$________	
		
Adjustments:
student discount**, if applicable.  Subtract $15.00 per copy.	$________	
Tennessee residents add 9.25% sales tax	$________	
		
Total:	$________	

*Please make checks payable to Daniel Hyams.  Please allow two weeks for delivery if ordering with a personal check.  Thank you.
** If purchasing CurveExpert through a student discount, you MUST include a copy of your student ID.

If you elect to take delivery via download, you must provide a valid email address.  Directions will be emailed to you concerning how and where to download the software.