**************************************************************** =-=-=-=- Zip Wizard Pro order form - Credit Card =-=-=-=-=-=-= **************************************************************** Fill out the information below and forward to Synaptek ================================================================== CUSTOMER INFORMATION: ============================================================================= Last Name: _________________ First: ________________ Initial:___ Address: ________________________________________________________ City:_____________________________ Prov/State: __________________ Country: ________ ZIP / Postal Code: __________ date: _______ EMail Address:___________________________________________________ Daytime Phone : ____________________ FAX : _____________________ PLEASE PRINT CLEARLY PAYMENT: ============================================================================= MASTERCARD____ VISA ____ Card Number _____________________________________________ Expiry Date __________ Card Holder's Name ________________________________________ Signature: ________________________________________________ Shipping method - select one: ============================================================================= ___ WEBship(tm): No shipping charges. ( requires EMail address.* ) ___ Air Mail: $5 dollars shipping. ( 3.5" diskette ) * Those requesting WEBship will be sent instructions by email on how to download their registered copy on the Internet. You will need Netscape or Internet Explorer to download the self-installing program that is approximately 750K in size. PRICING: (All dollar values in Canadian Dollars) ============================================================================= Prices guaranteed until Dec 31 1997 - You receive both 16 and 32 bit versions Zip Wizard Pro $39.95 CDN (approx $29 U.S.) Add $5 dollars for delivery by Air Mail. $________ Total $________ Note: Purchase price will be converted to your local currency by Visa or MasterCard. Submit Registration by: ============================================================================= Mail Synaptek Software 1188 Ostler Ct. Mississauga On Canada L5C 3G6 Fax (905) 897-7622 EMail (CIS) Synaptek@compuserve.com (AOL) Synaptek@aol.com (MSN) Synaptek@msn.com (Internet) Sales@zipwiz.com =-=-=-=-=-=- END -=-=-=-=-=-=-=-=-= Copyright © 1994-1997 Synaptek Software. All right reserved