PRODUCT REGISTRATION FORM 
LICENCE Version 1.00            Name:  _________________________________
(REG_FORM.TXT)
                     Company/Address:  _________________________________

                                       _________________________________

                                       _________________________________

               Your Telephone Number:  _________________________________
                                       (include area/country code)

               Disk Media, check one:  [ ] 5.25"  [ ] 3.5"

                        Date Ordered:  Month ________  Day _____  Year ______

Registration Name (Capitalization and Punctuation will be exactly as listed)
-----------------
                Your Name (required):  _________________________________

        Company/Org. Name (optional):  _________________________________

Credit Card Orders      Please Check:  [ ] MasterCard  [ ] Visa
------------------                  
                                    
                  
                  Credit Card Number:  _________________________________
                     
                     Expiration Date:  Month ________  Year ______

              Cardholder's Signature:  _________________________________
             (for Mail or Fax orders)

Price Calculation   Registration Fee:  A$15.00
-----------------
  California residents add Sales Tax:  ___________
                                                    $3.50 Australia
               Shipping and Handling:  ___________  $5.00 New Zealand
                                                    $9.00 Other countries
                          Total Cost:  ___________

Checks or Money orders:  Make payable in AUST. currency on a AUST. bank. 
Credit card payments may be sent via mail, Compuserve, FAX, or telephone.
                    
                        
   SOFTERM (Australia)                  Compuserve: 100033,3107            
   Level 7, 120 Pacific Highway         Fax:        (61)-(2)-438-4299
   St Leonards  NSW                     Telephone:  (61)-(2)-906-6548
   Australia  2065                                                        

How did you receive your copy of Licence            -- Thanks!
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