PowerDREAM Order Form --------------------- If you find PowerDREAM useful, and continue to use it you are required to register it. Registration may be by one of the following methods: 1) Credit Card Registration directly with HACE are available either through Secure Online Registration at: https://www.futurefx.com/hace.us/register/ by email to eirhanse@online.no by Fax/Phone (+47) 769 42700 For the above, MasterCard/EuroCard and Visa accepted You can use the SWIFT method (bank-to-bank transaction) using the following details: Norlandsbanken NOBANO22 Acc: 8987 10 48275 HACE / Eirik Hansen Industrivn.12 8500 Narvik Norway Registrations with HACE is 130 NKr, i.e. approx: 20 USD or 13 GBP. 2) Registrations through RegNet are avaiable, either online at http://www.swregnet.com/542p.htm You can also call 1 800 WWW2REG (1 800 999-2734) or (805) 288-1827 (international) You can fax (805) 288-1867 RegNet will also accept cash, checks or money orders. They must be in U.S. dollars (drawn on a U.S.bank) and made payable to Wintronix, Inc. The mailing address is: RegNet (Wintronix, Inc.) 21200 Trumpet Drive #201 Santa Clarita, CA 91321-4441 RegNet accepts all major credit cards. Registrations through RegNet is 24.50 USD. PowerDREAM has the RegNet # 542. Please e-mail or Fax/Phone for site licenses and discounts. ---------------------------------------------------------------------------- Please provide the following information: Date: Name_____________________________________Company____________________________ (if applicable) Address_____________________________________________________________________ Address_____________________________________________________________________ City_____________________ State/Prov.______________Zip/Post Code____________ Country_____________________________________________________________________ Phone Number__________________________ E-Mail_______________________________ Where Did you get PowerDREAM ? ____________________________________________ Quantity: ____ Cost Each: ____ Total:________ (130 NKr approx: 20 USD or 13 GBP for single license) Payment Method: ____ VISA ____ MasterCard ____ SWIFT ____ Other Credit Card #_______________________________________ Expiration Date__________ Signature ____________________________________________________________________ (Only required for credit card or purchase orders that are mailed or FAXED) Thank you for registering PowerDREAM.