ViaBase 1.4 Registration & Order Form Please complete and mail to: In the United States: Viable Software Alternatives PO Box 98134 Las Vegas, NV 89193-8134 In Europe and the UK: The Thompson Partnership Lion Buildings Market Place Uttoxeter, Staffs ST14 5DE UK Your REGISTRATION FEE entitles you to: * Notification of updates. * Technical Support. * Other Viable Software Alternatives Shareware Programs. * 1/2 off the purchase price of ViaPrint Ultra (add $17.25 if you'd like ViaPrint sent with this order). * Plus: Your name will go on our customer database! ViaBase Registration Fee................... __$49.95 US_ (Shipping Included) European ViaBase Registration Fee... ViaBase: £34.95 VAT (@17.5%): £6.12 Shipping: £3.00 --------- £44.07 Total ViaPrint Ultra: Add £11.69 (£9.95 + VAT £1.74) To purchase BOTH ViaBase AND ViaPrint Ultra: £55.76 Both Programs Method of payment: ( ) Check enclosed ( )MO ( ) MasterCard ( ) VISA ( ) American Express (UK ONLY) ( )Diner's Club (UK ONLY) Card Number (if applicable) _____________________ Ex. Date _________ Signature (if applicable) ____________________________________________________________ Disk size: ( ) 5¬" HD ( ) 3«" ( ) 3«" HD Name: _______________________________________ Address: _______________________________________ City, ST Zip: _______________________________________ Phone number: _______________________________________ (for questions) What kind of computer(s) do you have? ( )AT or 80286 ( )386 ( )486 Where did you get your copy of ViaBase? __________________ What kind of programs would you like us to create? _______________________________________________________________ Any suggestions? ______________________________________________________________ Thanks!