-----Gepeto Software Order Form-----
Please print this form, fill it out,and mail it with your payment to complete your order.
-Or order online at www.gepetosoftware.com-
**Make Checks or Money Orders Payable to:  Joe Tompkins

Send this completed form with payment to:
Joe Tompkins
130 Wintergreen Ct
Covington, GA 30016


Your Name_____________________________________
-or-
School Name___________________________________

Email Address 
(to receive registration code via Email-- Allow 1 week for reply):

_____________________________________ 

Mailing Address 
(to receive registration code via postal mail-- allow 5 weeks for reply)
-United States Addresses ONLY-- All others will receive code via email-

Street:_________________________________________________________

City______________________State_________ Zip____________________

Please indicate the product(s) you wish to register below:

(License Pricing: Single-$10.00 (US)  Site-$50.00 (US))
_____________________________________________________________________
Product:		| License (circle one)	|  Qty	|   Total $ |
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Activity Maker		|    Single / Site	|	|	    |
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Easy Attendance		|    Single / Site	|	|	    |
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Elec. Survey Program	|    Single / Site	|	|	    |
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Grammar Quest		|    Single / Site	|	|	    |
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MathMaker: Fractions	|    Single / Site	|	| 	    |
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MathMaker: Skills	|    Single / Site	|	| 	    |
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StoryMaker		|    Single / Site	|	|	    |
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Vocab-Flash		|    Single / Site	|	|	    |
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					  Total Enclosed: