Registration form for UZPower 1.20 from UZful Software ---------------------------------------------------------------------- Send to: UZful Software, Inc. PO Box 2089 Merrimack, NH 03054-2089, USA Individual Registered Version Qty ____ @ $5.00 $___________ 1 floppy disk with latest version (OPTIONAL) $5.00 $___________ ( ) 5.25" or ( ) 3.5" Note: All payments must be in U.S. funds, Total $___________ drawn on a U.S. bank. Payment method: ( ) Check/money order ( ) PO # ____________________ ______________________________________________________________________ Name Last First ______________________________________________________________________ Title Company Name ______________________________________________________________________ Street Address City ______________________________________________________________________ State/Province/Region ZIP/Postal code ______________________________________________________________________ Country E-mail address (Internet, GEnie, CompuServe, ...) Where did you get your copy of the program? __________________________ What brand(s) and model(s) of laptop(s) do you use? __________________ +----------------------------------------------------------------------+ | Please include the output of "uzlicinf" for the computer(s) on which | | you want to run this product. We cannot take your order without it. | +----------------------------------------------------------------------+ UZLICINF OUTPUT (8 capital letters): _____________ Please give us any feedback (comments, problems, wishes) below. Thank you for your support. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________