Use the form below to register to use UniKEY series of 
software programs for personal home use on a single computer. 
Registration is for personal (home, non-business) use only.

Send to:

        UniKEY Informatica
        Rua Canuto Saraiva, 3
        Rio de Janeiro - RJ
        20.530.000 -  BRASIL
        Phone: (55)-(021)-278-0821
               (55)-(021)-571-7701

You can also order from:

   Mail Orders:    BMT Micro
                   452 Horn Rd.
                   Wilmington, NC  28412
                   ATTN: UniQWK

   Voice Orders:  accepted 8:00am - 8:00pm 7 days per week.
                  800-414-4268
                  (Toll Free in All 50 United States - ORDERS ONLY!)
                                                                                        910-791-7052  (Orders, questions)
   Fax Orders:  accepted 24 hours a day, 7 days per week.
                   910-350-2937

   Online Orders:  910-350-8061  (10 lines, all 14.4)
                   910-799-0923  (28.8 line)

   We accept Visa, MasterCard, Discover, Money Order, Cashiers Check,
   Personal  Check.   Please do not send cash in the mail!

   Allow 5 days for personal checks to clear.

   Signature needed on credit card orders (Make sure you put a
   signature line on the order form)

==================================================================

Product:  UniQWK v4.2 - Windows Mail Reader.
Price:    US$40.00

OR CHARGE TO:  Master Card __________   Expiration Date__________

OR CHARGE TO:  Visa _________________   Expiration Date__________

Card Number:_____________________________________________________

Card Issued To:__________________________________________________

Signature:_______________________________________________________


MAILING ADDRESS:

Name:________________________________________(up to 25 characters)

Address:_________________________________________________________

City/State/Province:_____________________________________________

Country/Postal Code:_____________________________________________

Telephone (Voice/FAX/Modem):_____________________________________

EMail____________________________________________________________