Dynamic Gin (TM) 1.17 Purchasing (Registration) Form and Information ************************************************************************ Dynamic Gin Registration: $ 12.00 Optional floppy disks containing the Dynamic Gin program files or collections of additional backdrop scenery images for use with Dynamic Gin: 16-bit program disk for Windows 3.1, NT, and 95 ($3.00/disk)_________ 32-bit program disk for Windows 95 only ($3.00/disk) _________ Five 256-color backdrop scenery images ($5.00/disk) _________ Five 16-color backdrop scenery images ($5.00/disk) _________ Disk Shipping outside USA, Mexico, or Canada ($2.75/address) _________ Optional gift wrapping ($3.50/address) _________ Optional express shipping ($10.00/USA 48 states NOT AK or HI) _________ TOTAL PAYMENT $_________ Customer Information: Customer (Cardholder) Name: ____________________________________________ Billing Address: _______________________________________________________ ________________________________________________________________________ City: ________________________________ State/Province: _________________ Postal Code: __________ Country: ________________ Phone: _______________ Charge Card: __Mastercard __Visa __Discover __American Express Card Number: _____________________________ Expiration Date: ____________ Authorized Signature: ________________________________Date: ____________ Registered User (or gift ship to) Information: (if different from above) Registered User Name: __________________________________________________ Address: _______________________________________________________________ City: ________________________________ State/Province: _________________ Postal Code: ________ Country: ______________________ E-mail Notification of Registration Keys: To speed up delivery of the registration keys, we can send the keys by electronic mail in addition to the usual postal mail. If you desire such electronic notification, please fill in the appropriate e-mail address for the registered user below (not recommended for surprise gift orders): E-mail address: ________________________________________ ************************************************************************ Ordering by Check: To purchase Dynamic Gin by check, print the form above, complete it, and send it with a check for the total payment to CyberSym Technologies, P.O. Box 127, Providence, UT 84332. Payments must be in U.S. dollars (either drawn on a U.S. bank or an international postal money order in U.S. dollars). If you need to order multiple copies of Dynamic Gin, please fill in a separate form for each copy, providing the information for ordered items and services, Customer Name, Registered User Information, and E-mail Notification. Then on one additional form, fill in ALL the Customer Information and the total dollar amounts for different items and services and TOTAL PAYMENT. Ordering by phone with MasterCard, Visa, Discover or American Express: Call CyberSym Technologies Monday thru Friday between 9AM and 6PM Mountain Daylight Time. Inside the USA and Canada, dial 1-888-223-7796 (toll-free). Elsewhere dial 1-801-753-8384. Be prepared to provide the information requested on the above form. Ordering with MasterCard, Visa, Discover, or American Express Card by fax, electronic mail or regular mail: Print or copy and complete the above order form. If you are ordering multiple copies of Dynamic Gin, please fill in a separate form for each copy, providing the information for ordered items and services, Customer Name, Registered User Information, and E-mail Notification. Then on one additional form, fill in ALL the Customer Information and the total dollar amounts for different items and services and TOTAL PAYMENT. Send fax orders to CyberSym Technologies any time - 24 hours a day, seven days a week. Inside the USA and Canada, dial 1-888-223-7796 (toll-free). Elsewhere dial 1-801-753-8384. Set your fax machine to dial automatically (instead of manually) so our line switching equipment can route your call correctly. Send CompuServe Mail orders to CyberSym Technologies at 70621,3373. Send America Online Mail orders to the screen name CyberSym. Send Internet e-mail orders to smartsym@cybersym.com. (Note, although we will accept charge card orders by Internet e-mail, we do not at this time recommend this method of ordering for security reasons.) Send orders by regular mail to CyberSym Technologies, Box 127, Providence, UT 84332, USA. Ordering from our Internet Web Site: Visit our Web site at http://www.cybersym.com. You can order Dynamic Gin and related products with MasterCard, Visa, Discover, or American Express Card using our secure charge card ordering system. You can also download backdrop scenery image collections and the latest versions of Dynamic Gin. With all the recent increase in traffic on the World Wide Web, please be aware that Web connections don't always work the first time. If you don't get a connection to our Web site, try again at a later time. Ordering through CompuServe's Software Registration Service: CompuServe allows you to register shareware and have the charge added to your CompuServe bill. To order by this method, log onto CompuServe and enter or select GO SWREG. At the first screen select Register Shareware. (If you're unfamiliar with the process for registering shareware through the SWREG service, you might want to first read the instructions by selecting Instructions for Registering Shareware.) You can select Dynamic Gin by searching either for the Dynamic Gin title or by searching for the Registration ID 11705 (16-bit edition) or 11706 (32-bit edition). When you have found Dynamic Gin, read the description and follow the remaining instructions to register it. Regrettably, this service provides no mechanism for you to order program or image disks. If you need any of these disks, you'll have to order by one of the other methods (we sincerely regret the inconvenience!). Site Licenses and Group Orders: If you wish to order multiple copies of Dynamic Gin as a club or organization, contact CyberSym Technologies at one of the addresses above for group rates.