SpaceBak REGISTRATION FORM Use this form to register your copy of SpaceBak and order the latest version directly from the MicroTools. NAME: _______________________________________________________ COMPANY: _______________________________________________________ ADDRESS: ___________________________ CITY/TOWN: ________________ STATE: _____________ ZIP CODE: _________ COUNTRY: ____________ TELEPHONE: ______________________ DISK SIZE: 5.25" ____ 3.50" ____ MC __ VISA __ No.__________________________________ Expires ___/___ SIGNATURE: _______________________________ DATE: __________________ QTY DESCRIPTION PRICE TOTAL ___ SpaceBak software, manual, and phone support $25.00 ___.00 (Connecticut residents, please add 6% sales tax) ______ (Outside the U.S. please add $ 4.00 postage) ______ TOTAL: ___.__ Use this form as an invoice to your purchasing department ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: INVOICE ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Remit Payment to: Ship to: MicroTools Inc ___________________________ PO Box 624 ___________________________ Simsbury CT 06070-0624 ___________________________ 203-651-6170 Tel. ______________________ =================================================================== To Purchasing, Accounts Payable: Note that SpaceBak has been delivered and accepted by the customer. Upon receipt of this paid invoice, a printed manual and the current disk will be sent. =================================================================== Volume discounts are available, please contact us.