Contact information
	Please enter your email address carefully! This address is where we will send your serial number and registration instructions. If your email address is submitted incorrectly, we will have no way of contacting you!
	Your name:
	Your affiliation:
	Your e-mail address:

Select product(s)
			Qty	Price
	Antibiotic Kinetics© for Windows Desktop			$25 for a single license ($20 per seat if multiple licenses purchased)
	Antibiotic Kinetics© for Palm OS			$25 for a single license ($20 per seat if multiple licenses purchased)
	Antibiotic Kinetics© for Windows CE (Pocket PC)			$25 for a single license ($20 per seat if multiple licenses purchased)
	DripCharts© for Windows single license			$25 for a single license ($20 per seat if multiple licenses purchased)
	DripCharts© for Windows site license			$125 for a single business address
	DripCharts© for PalmOS			$25 for a single license ($20 per seat if multiple licenses purchased)
	TPNassist© for PalmOS			$25 for a single license ($20 per seat if multiple licenses purchased)

Additional information required for handheld software:
	Palm OS, please provide your "HotSync ID".
	Where is my HotSync ID?
	Windows CE, please provide your "Device owner" name.
	Where is my Device Owner name?
	Important these names are case-sensitive, please provide the names exactly as they appear on the registration screen.
	User name(s) or Device owner name(s).