[please replace the text between [], print this form, sign it and send it via fax at
+39 (0)11 8190626; you will receive the source code for piola.jchart via e-mail]


   To: Dr. Roberto Piola
       Gruppo IH
       via Bonsignore 4,
       10131 Torino (Italy)
       phone: +39 (0)11 8190530
       fax: +39 (0)11 8190626
       



                                             [location] [date]

   Object: request for source code
   
   with the present I request to receive the source code for the application
   java.jchart for the only purpose of studying them, under the following conditions:
   - I will not publish them, or pass them to others, without written permission
     by the author (Roberto Piola)
   - I will not use them in any commercial product
   
   I understand that, if the original code by Roberto Piola will be found in any
   commercial product, I will receive an invoice for the amount of 200 US$, the
   value of a commercial license for the product.
   
   
   [First name]

   [Last name]
   
   [Company]
   
   [street address]
   
   [Zip code, city, state]
   
   [country]
   
   [phone]
   
   [fax]
   
   [e-mail address]
   
   
                                                             [signature]