Cuneiform OCR Order Form

Payment may be made with a check, or various credit cards, in US dollars. However, please note that credit cards are charged in US dollars, at the current exchange rate. See the Price List for dollar prices, and return the completed Order Form below.

Version:
    [  ] Cuneiform Pro 6.0
    [  ] Cuneiform Lite

Licenses required:
    [  ] 1, [  ] 5, [  ] 10, [  ] 20, [  ] 50, [  ] Unlimited

Price:	__________
CD-ROM ($15.00):	__________
Total amount paid:	__________

Method of Payment:
    [  ]Check,   [  ]MasterCard,   [  ]VISA,   [  ]AMEX

Credit Card Number:	_________________________
Expiry Date:	____/_____
Name On Card:	_________________________
Your Name (if different):	_________________________
Company:	_________________________
E-mail Address:	_________________________

Billing Address:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Country: ___________________

Please send this completed form with your check (if appropriate) to:

Cognitive Enterprises
9 El Camino Dr.
Corte Madera, CA 94925
USA
FAX: +1 (415) 329-3333
E-Mail: ocrsales@ocr.com

Thank you for your interest in this product.