WinPawn 4.00 License Check/Cash/MO Order Form
NOTE: no refund on registered software. Please use 60 day free 
trial method to determine suitability for your needs.
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Date:_________________

Qty Item                                   _US funds_    Price
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     NOTE: upgrades from 3.20 are half price

Single (first) licensed station $700                    $_________
       (CD, receipt and license sent by mail)

___ Additional work stations $250 each                  $_________

    Optional printed bound manual          $ 10         $_________
    (Outside of N. America additional      $  8)


                                                TOTAL   $_________

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ADDRESS INFO: (where to send Authorization Code/invoice/receipt)

  Owners Name_______________________________________________________

Business Name_______________________________________________________
(As will appear on top of pawn tickets and other printouts)

    Address  _______________________________________________________

             _______________________________________________________

             _______________________________________________________

      Phone  ________________________

     E-Mail  ________________________

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Payment Information:
   Orders must be prepaid by check [ ], money order[ ],
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Mail/Fax order form with payment to:
              Abri Technologies
              126 Blue Jay Rd.
              Pierre, SD 57501 USA
       Phone: 605-224-0660  Faks: 815-642-0943