E-Z Access Software Ltd. Form1 P.O. 395 7/95 Calais, ME 04619-0395 Registration/Order Form For EZ-Index for National Geographic. Use this form for "ALL" U.S. money/postal orders and checks Name: _______________________________ Company: __________________________ Address: ____________________________________ Apt:# ______________________ Street: __________________________________________________________________ City: _________________________________State: ______ Country: ____________ ZIP: _____________ Phone: _____-______-___________ Home [] Work [] Software will be shipped on a 3«" HD diskette unless otherwise specified. Disk size: 5¬LD 360kb [] 5¬HD [] 3«DD [] (PLEASE CHECK [X] ONE) U.S. Funds [ ] For Jan/1960 to the present -- v1.60 -- $14.95 ---------> $ [ ] For Jan/1965 to the present -- v1.65 -- $13.95 ---------> $ [ ] For Jan/1970 to the present -- v1.70 -- $12.95 ---------> $ [ ] For Jan/1975 to the present -- v1.75 -- $11.95 ---------> $ [ ] For Jan/1980 to the present -- v1.80 -- $10.95 ---------> $ [ ] For Jan/1985 to the present -- v1.85 -- $ 9.95 ---------> $ [ ] For Jan/1990 to the present -- v1.90 -- $ 7.95 ---------> $ ________ (EZ-Index v1.50 includes Jan/1950 to Dec/1959) [ ] If EZ-Index v1.6X5 (includes EZ-Index v1.50) - $19.95 -> $ ________ [(v1.50) $5.00 + (v1.60) $14.95 = $19.95 + S/H] [ ] EZ-Index v1.50 Jan/1950 to Dec/1959 -- $ 6.00 ---------> $ ________ (Only available to registered user of EZ-Index v1.60) SUB total $ ________ Deduct 10% if a registered user of another E-Z Access Software product. Other product? ______________________________________ $ ________ (ONLY applicable when order is placed through E-Z Access Ltd.) For registered users only: If an update what is the version # and last month indexed in your registered copy? v ____ M ____ Y ____ Updates are $6.95 -> $ ________ Shipping and Handling -------> $ 4.00 ---------- TOTAL Enclosed $_________ M D Y Date: ____/_____/_____ Signature:_________________________________ ALL Credit Card orders use form2 In Canada send to: E-Z Access Software Ltd. 5185 Hwy. 127, Bocabec, Saint Andrews, NB E0G 2X0