PolyView Registration Order Form
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Name:		____________________________________________________________

Address:	____________________________________________________________

Address:	____________________________________________________________

City/State/Zip:	____________________________________________________________

Email:		____________________________________________________________
(Registration (unlock) codes will be sent directly to your email address)

No. of Licenses at $29.95 US each     _________


Comments:	






Print this form, fill it out, and mail along with a check or money order to:

	Polybytes, Inc.
	3427 Bever Avenue SE
	Cedar Rapids, IA 52403-3161
	USA

Please make registration checks payable to Polybytes, Inc.

Customers outside the USA: Please send a check for your payment in US
dollars on a US bank, or in your country’s currency drawn on a bank in
your country. In the latter case please apply the current exchange rates
to calculate the amount necessary to equal the purchase price in US
dollars.
Iowa Residents: Add 5% Iowa sales tax to purchase amount.