                        -  FCP2000  O r d e r  F o r m  -

     
Name: ______________________________________________________________

Address: ___________________________________________________________

____________________________________________________________________

City, State: _______________________________________________________

ZipCode: _________________________________

Country: _________________________________     Date: _________________


[ Diskette: 3.5" 1.44MB (      ) Yes / No? ]

Via e-mail: My e-mail address is: __________________________________ 

___ copies of FCP2000.ZIP ( @ $5.00 ea. diskette ).......  $ _________ 
     
___ copies of FCP2000.ZIP ( @ $4.00 ea. e-mail ).........  $ _________

Postage for U.S. destinations ( 10%  of subtotal ).......  $ _________
Mexican and overseas users: See below...
 

Total of order.........................................  $ _________

The above-named user is entitled to use FCPlus on his or her computer,
and without extra cost or additional registration may make it available
to any and all of his or her students in classroom settings.
 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _


Make personal check or money order payable to: Ben G. Philippon

and send to:
                        Ben G. Philippon
                        18 Pine Terrace
                        Wayne, New Jersey 07470
                        U.S.A.

Send this completed form as an attached textfile to: BenGP@aol.com. 
However, if you are requesting the software by "snail" mail, somehow 
print (in Notepad?) the form or the data relevant to your situation 
and then forward the info together with a check or money order to BGP. 

                     Comments [optional] :

_________________________________________________________________________

_________________________________________________________________________
      
_________________________________________________________________________

NOTE: If ordering diskette(s) from Mexico or overseas, please add 
$2.00 (Mexico) or $3.00 (overseas) for each separate mailing.  There is, 
of course, no such extra charge if the software is sent to you by e-mail.