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Micronex®-MinIdent-Win Mail-in Request for Upgrade Quotation
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Thank you for your interest in MinIdent-Win. Please complete this form in
CAPITALS.

Name of MinIdcent-Win purchaser (the "licensee")_________________________
Address of purchaser:____________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Phone number of purchaser________________________________________________
Fax number of purchaser__________________________________________________
Email address of purchaser_______________________________________________

Address for delivery if different from above:____________________________
_________________________________________________________________________
_________________________________________________________________________
Name of end-user if different from purchaser:____________________________
Phone number of end-user_________________________________________________
Fax number of end-user___________________________________________________
Email address of end-user________________________________________________

The product code for the installation is:________________________________
The computer code for the installation is: ______________________________
The registration code for the installation is: __________________________

(Note: the codes can be seen by clicking on "About MinIdent-Win" or by
reading them from the file "MIWCODES.txt" which is to be found in the root
directory of the C hard drive).

Please supply us/me with a quotation for an upgrade to the latest version
of MinIdent-Win. Note: upgrades include both new mineral data and new data
for old minerals, as well as any program improvements. They do not,
however, include new images.

Please note: The upgrade code cannot be sent until your order has been
received and payment has been negotiated and cleared our bank.

Please send this your completed quotation request to:
Micronex®, 4356 - 148 Street, Edmonton, Alberta, Canada, T6H 5V5

_________________________
(Dated)

_________________________________________________________________________
(Name and signature of Person requesting the quotation)

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For Micronex® Use-please do not write in this area