QUICKCOLOR ORDER FORM

Please mail this form to:

EnTech Taiwan
7F-18, Lane 313, FuShing N. Rd.
Taipei, Taiwan
ROC

E-mail:         entechtawain@msn.com
Internet:       http://www.entech.com.tw

Date: __________________

Product                                       Price*  Qty Subtotal
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QuickColor Registration (no disks)        US$ 20.00   ___ ________

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Registration via E-Mail**                   $  0.00   ___ ________

Registration via Fax***                     $  2.50   ___ ________

Shipping via Mail (diskette)****            $  5.00   ___ ________

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Total                                                     ________

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*Payment must be in US dollars or equivalent by international money order.
**Registration number will be e-mailed immediately upon receipt.
***Registration number will be faxed immediately upon receipt.
****Please allow up to 14 days for delivery of a diskette.

SHIPPING DETAILS

Name:             __________________________________________________

Title/Department: __________________________________________________

Company:          __________________________________________________

Address:          __________________________________________________

                  __________________________________________________

City:             __________________________________________________

State/Province:   __________________________________________________

Post/ZIP Code:    __________________________________________________

Country:          __________________________________________________

Phone:            __________________________________________________

Fax:              __________________________________________________

Internet Mail:    __________________________________________________


The following information will contribute towards enhancements to,
and refinements of QuickColor.

QuickColor will be used under:  [ ] Win95     [ ] WinNT    [ ] Both

Graphics chipset (be specific)  ____________________________________

Graphics card manufacturer      ____________________________________

Monitor manufacturer and model  ____________________________________

Thank you for your order.
