SciTech Display Doctor
			   Rebate Claim Form


SciTech Software, Inc.                                 __/___/___
505 Wall Street                                        MM /DD /YY
Chico, CA 95928-5624 USA

Phone: 530-894-8400
sales@scitechsoft.com


To receive a $10 rebate on your purchase of SciTech Display Doctor,
please fill out the information below and mail this form to the
address shown above.  Your rebate will be mailed to you within 6-8
weeks.  Offer valid only on purchases of SciTech Display Doctor
made between August 15, 1998 and September 30, 1998.

In order to receive the rebate, the form must be completely filled out
in it's entirety.

PLEASE PRINT CLEARLY OR TYPE!


Name: ____________________________________________________________

Company: _________________________________________________________

Address: _________________________________________________________

City: _______________________________  State: ____________________

Country: ____________________________  Zip/Postal Code: __________

Phone Number: _______________________

Original Purchase Date: _____________  Invoice # _________________

* The invoice number is printed in the upper right corner of the invoice
you receive in the mail along with the software, disks and manual.