ORDER : Clean-XP PRO v2.0.261


      Name    ___________________________________________________

      Company ___________________________________________________

      Address ___________________________________________________

              ___________________________________________________

      Phone   ___________________________________________________

      E-Mail  ___________________________________________________


      [ ]  Send me my registration key by e-mail
      [ ]  Send me Clean-XP 2.0 PRO Download Link by e-mail
      [ ]  I prefer receive my registration key by regular mail.

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        How many license:

        [ ]  1 user license         	=    ($30.00 USD or 25.00А)	

	Quantity  _______  x  25.00 А   	=  _________ А
              Quantity  _______  x  30.00 $ USD   	=  _________ $ USD
		
                                     ==============================
 
                                         TOTAL  =  _________ USD/А	


	Don't forget to includ with this form a check, with correct
	price, dated, signed, and made out to "Rosario MarcianЄ".
	Then send all (this form + check) to the address below :

	Cassa di Risparmio di Genova ed Imperia (IM)
              Corso Mombello, 27 - Sanremo (IM) ааааа 
              ABI 6175-4 CAB 22700-9
              Swift: Crgeitgg
              BIC: CRGEITGG301
              IBAN: IT78L0617522700000002364180
              CIN: L
              c/c 000002364180 intestato a:ааааа 
              MarcianЄ Rosario
	
	Your registration key will be sent to you as soon as your 
	check will be accepted.

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        Date:                                    Signature: