Order Form - Freeman Installer & Uninstaller To order Freeman Installer & uninstaller, fill out the following form, mail/fax/e-mail it to, ka iok tong Mail Box 20 Wentworth Building University of Sydney Sydney NSW 2006 Australia e-mail: tongk@archsci.arch.su.edu.au ph & fax: (61) (2) 2116314 At the same time, please make the appropriate payment. All payments must be made in US$ or equivalent Australian$ or HK$. It can take one of the following forms: * CompuServer's SWREG (available only when you are applying for an author license) * TT (telegraphic transfer). This is the recommended method of payment. Here are my bank account details, Account name: ka iok tong Account number: 012-045167-389 Bank address: Hongkong Bank of Australia China Town Branch 728 George Street Sydney NSW 2000 Australia * bank draft * international money order * purchase order * cash 1. What is your (the applicant) name? 2. What is the name of your company? 3. What is your address (street, city, state, country, zip)? 4. What is your telephone number? 5. What is your fax number? 6. What is your email address (Internet or CompuServe)? 7. How did you learn about Freeman Installer? [ ] Searched through the index of a ftp site [ ] Found it on CompuServe [ ] Recommended by a friend/colleague [ ] Found it on a BBS [ ] Found it on a shareware CD or catalogue [ ] Others. Please state:______________________________________ 8. What delivery method would you like? [ ] Internet email. I don't need to pay for the shipping [ ] CompuServe email. I don't need to pay for the shipping [ ] Air mail. I am in Australia, I will pay US$3 for the shipping [ ] Air mail. I am out of Australia, I will pay US$5 for the shipping 9. What kind of license you are applying for? [ ] Application license. ----> fee = the price of your application [ ] Author license. ----> fee = us$60 [ ] Organization license. ----> fee is negotiable 10. What is your registration context? [ ] I registered v1.0b, I get a discount of 20% off [ ] I registered v1.1b, I get a free upgrade [ ] I beta tested v1.1b, I get a free registration [ ] None of the above, I'll pay the full fee 11. What is the total amount you need to pay? [ ] $0 + postage = ____________________________________________ [ ] discount * fee + postage = ________________________________ [ ] fee + postage = ___________________________________________ [ ] to be negotiated on 12. How are you paying? [ ] I have nothing to pay [ ] CompuServe's SWREG [ ] TT to your account [ ] A cheque, money order, or bank draft is enclosed [ ] Cash is enclosed [ ] Purchase order is enclosed [ ] Others. Please state:______________________________________ [Proceed to next question only when you are applying for an] [application license, otherwise, you are done ] 13. What is the name of your application? 14. What is the price of it? [ ] It's freely available to anybody [ ] I am a student. I wrote it for my school/university, it's free [ ] Among the different versions (say, std/pro, unregistered/registered) I am going to distribute with Freeman Installer, the most expensive one costs us$______________________________________________ [ ] Others. Please state:______________________________________ 15. Is your application intended to be USED by the user? [ ] Yes. Proceed to next question [ ] No, it is a demo. Application rejected [ ] No, it is a beta. Application rejected 16. Where can one (not just me) buy/get it? [ ] ftp from the site: [ ] Directly from me. [ ] Order from a company at this address:______________________ ______________________ ______________________ ______________________ [ ] Others. Please state:______________________________________ I hereby declare that all the information provide here is correct and I will be responsible for any damage caused by any deceptive information I provide here. Signature: __________________