Registration Form

If you wish to register then fill out your details and post, fax or email this form to us:

			aAsys Courier Registration

Name:

Postal Address:


Town/Suburb:		State:			Postcode/Zip:
Country:

your Phone Number:			Your email address:

Mastercard/Visa/Bankcard	(cross out options not applicable)
Expiry date:

Licence required:  1 user / 10 users / 50 users / 100 users

Send your registration form to us at:

	aasys@ozemail.com.au.
or

	aAsys Research and Development
	GPO Box 1739T
	HOBART       7001
	Tasmania
	Australia

or

Telephone us: +61 02 369567 (outside Australia) or (002) 369567 (within Australia).

or

Fax us: +61 02 369551 (outside Australia) or (002) 369551 (within Australia)