                  Icolib Order Form             Version 4
                  =================             ---------


       Name: __________________________________________________

    Company: __________________________________________________

    Address: __________________________________________________

       City: ___________________________ State: _______________

    Country: _______________________ Post/Zip Code: ___________


Your Email Address: ___________________________________________

Where did you obtain
   this program from:  ________________________________________

Payment:
=======

   All amounts are in US DOLLARS but other currencies to an
   equivalent amount are happily accepted.

   Icolib program:                      ____ copies  = $_______
     1       license   no discount. (US$20.00)
     2 - 5   licenses 20% discount. (US$16.00 each copy)
     6 - 20  licenses 35% discount. (US$13.00 each copy)
     21 +    licenses 50% discount. (US$10.00 each copy)

>>> Previously registered users US$5.00 CASH ONLY or email me
    for details of ftp site to fetch latest version for free.

     Cash (any currency accepted)  No extra charge     $ 0.00

     International Checks or Money Orders add US$7.00  $_______
      (Personal checks are accepted)

                                                Total  $_______

Please specify your disk size:  (High Density Only)  
Anon ftp ____  5.25" disk ____  3.5" disk ____   <-- Note: Anon ftp option

Make your payment to Stephen Balogh, and send it to:

     PO Box 414
     Caulfield East
     Melbourne
     AUSTRALIA     3145

I will send a copy of Icon Library with the full set of icons as
soon as I receive your registration.

Comments:
___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

If you have access to the Internet then I can be contacted at:
                   steve@cc.monash.edu.au
