REGISTRATION FORM MAKE ANY REGISTRATION CHECK PAYABLE TO: William S. Hiles (USERS OUTSIDE THE US: Please send checks drawn on US banks in US dollars.) Send to: WiSHware Inc. Attn. William S. Hiles 4421 Savannah St. King George, VA 22485 Credit card registrations are not accepted at this time. ____ PMsndX registration for a single.. @ $ 0.00 ea $ ______ individual (does not include a disk) ____ PMsndX registration of one verion. @ $ 15.00 ea $ ______ (does not include a disk) ____ PMsndX registration up to the..... @ $ 30.00 ea $ ______ next major release (does not include a disk) ____ Lifetime PMsndX registration...... @ $ 50.00 ea $ ______ (does not include a disk) Subtotal $ ______ ____ Shipping, Packaging, Diskettes ... @ $ 5.00 ea $ ______ (for disk version only) Total $ ______ Registered user information: Name: __________________________________________________ Address: __________________________________________________ : __________________________________________________ Country: __________________________________________________ EMAIL: __________________________________________________ Phone: __________________________________________________ By signing in the space provided below, the user agrees to the licensing information. Further, if this is a FREE registration, the individual agrees that this registration may not be used at a government facility, or to gain profit from use or redistribution of PMsndX except where stated in the licensing agreement. _________________________________ Signature Date