REGISTRATION/ORDER FORM To: ARK ANGLES Phone: (047)588100 or Intl+61-47-588100 P O Box 190 Fax: (047)588638 or Intl+61-47-588638 Hazelbrook NSW 2779 Internet: 100237.141@compuserve.com AUSTRALIA CompuServe: 100237,141 Name _________________________________________________________ Company _________________________________________________________ Address _________________________________________________________ Town __________________________ State ________ Code ________ Country _________________________________________________________ Phone ___________________________ Fax ________________________ E-mail _________________________________________________________ Where software seen or obtained _________________________________ Computer: [ ] XT [ ] AT/286 [ ] 386 [ ] 486 [ ] >486 Memory Size: ____________ Hard Disk Size: __________ Drives: [ ] 5¬" 360K [ ] 3«" 720K [ ] 5¬" 1.2M [ ] 3«" 1.4M Screen: [ ] Mono/Herc [ ] CGA [ ] EGA [ ] VGA [ ] >VGA Dos Ver# _________ Windows Ver# _________ OS/2 Ver# _________ ___________________________________________ _______ ___________ | P R O D U C T / L I C E N S E | Q T Y | P R I C E | |___________________________________________|_______|___________| | | | | |___________________________________________|_______|___________| | | | | |___________________________________________|_______|___________| | | | | |___________________________________________|_______|___________| | | | | |___________________________________________|_______|___________| | T O T A L | | |___________________________________________________|___________| [ ] Bankcard [ ] Mastercard [ ] Visa [ ] Cash/Cheque/Draft Credit Card No ______ ______ ______ ______ Expiry Date ___/___ Cardholder Name _________________________________________________ Signature _____________________________ Date ____________ Comments: