
                            License Request Form

Name of Individual or Organization:_______________________________________

Address:__________________________________________________________________

City:_____________________________________   State:_______    Zip:________

Phone: (___) ___-____ (Optional)

Product I Wish To Register:  Networked Bookmarks v1.5

The above product will be used by:

[ ] Personal Use       [ ] Educational Use   [ ] Governmental Use
[ ] Business Use

[ ] Corporate Use    [ ] Other: _____________

You must purchase 1 (one) client license for each computer that
connects to the Networked Bookmarks server.

Quantity                     Description                Price Each    Total
--------   -------------------------------------------- -----------  --------
[      ]   1 (one) Client license: Networked Bookmarks    $15.00     $


Send To:
                TyGi Electronics
                 P.O.  Box 1473                           
           Wisconsin Rapids, WI 54495-1473                    

                                                           Total   : $_______


I have enclosed $________  in the form of   [ ] Check   [ ] Money Order

for the purchase of the above product(s).  I wish to be sent my
license information via

[ ] US Mail (Include Self Addressed Stamped Envelope)
     or
[ ] E-mail :____________________________________ (Free)

I understand that the license information I receive may not be
sold, transferred or shared with anyone except the licensed
owner.  Transferring, selling or sharing the license information
is illegal.
