-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= NOTE: It is easier to fill out this form by typing SDIR /INFO and then pressing "R". You can then print out or save it to a file for mailing. If you do not have access to a printer, a hand written copy of this form will be accepted. Alternatively, you can email this form. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= INVOICE ======= SuperDIR 95 V6.0 Registration Send this form with payment to: Omnivision Technologies 11 Lynnwood Parade Lower Templestowe Melbourne, Victoria Australia 3107 OR email it to (credit card payment only): hofman@silas.cc.monash.edu.au Please allow 2 weeks for the delivery of your registration key via mail (much sooner with email). Name: ________________________________________ Company: ________________________________________ Address: _______________________________________________________________ City: ____________________________________________________ State: ___ Country: ____________________________________ ZIP/Postal Code: _________ Phone: ___________________ (please include area code) Fax: ___________________ (please include area code) E-mail: _______________________________________________________________ Method of payment: ____________________ (VISA, Mastercard, Bankcard, Cheque, or International Money Order ONLY) Credit card owner: _______________________________________ Credit card number: _________________________ Credit card expiry date: __/__/__ (Cheques/money orders must be in Australian dollars or equivalent US dollars) Quantity: ___ Price: $______ Quantity Discount: $______ (2-19 copies = 10%, 20-49 = 25%, 50+ = 35%) ------- TOTAL: $______ Return registration key by: _____________________________ (Mail, Email, of Fax ONLY) I obtained SuperDIR from: _________________________________________________ Improvements for future versions are: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Thank You For Registering SuperDIR