Dynamic Gin (TM) 1.00 Purchasing (Registration) Invoice and Information
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Dynamic Gin Registration:                                     $  12.00  

Optional floppy disks containing the Dynamic Gin program 
files or collections of additional backdrop scenery images 
for use with Dynamic Gin:

  16-bit program disk for Windows 3.1, NT, and 95  ($3.00/disk)_________
  32-bit program disk for Windows 95 only  ($3.00/disk)        _________
  Five 256-color backdrop scenery images  ($5.00/disk)         _________
  Five 16-color backdrop scenery images  ($5.00/disk)          _________

Shipping outside USA, Mexico, or Canada  ($2.75/address)       _________
Optional gift wrapping  ($3.50/address)                        _________
Optional express shipping ($12.50/USA 48 states NOT AK or HI)  _________

TOTAL PAYMENT                                                 $_________

Disk size if ordering disk(s):   ___3.5 inch        ___5.25 inch


Customer Information:

Customer (Cardholder) Name: ____________________________________________
Billing Address: _______________________________________________________
City: ________________________________ State/Province: _________________
Postal Code: ________ Country: _________________ Phone: (___)___________
Credit Card:      __Visa       __Mastercard       __Discover  
Card Number: _____________________________ Expiration Date: ____________
Authorized Signature: ________________________________Date: ____________

Registered User (or gift ship to) Information: (if different from above)

Registered User Name: __________________________________________________
Address: _______________________________________________________________
City: ________________________________ State/Province: _________________
Postal Code: ________ Country: ______________________

Electronic Notification of User Authorization Code:

To speed up delivery of the user authorization code, we can send the
code by CompuServe or America Online mail in addition to the usual
regular mail.  If you desire such electronic notification, please 
fill in the appropriate electronic mail address for the registered 
user below (not recommended for surprise gift orders):

CompuServe User ID: ___________________________________
America Online Screen Name: ___________________________

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Ordering by Check:  To purchase Dynamic Gin by check, print the form 
above, complete it, and send it with a check for the total payment to 
CyberSym Technologies, P.O. Box 127, Providence, UT 84332. Payments 
must be in U.S. dollars (either drawn on a U.S. bank or an 
international postal money order in U.S. dollars). If you need to order 
multiple copies of Dynamic Gin, please fill a separate form for each 
copy, providing the information for ordered items and services, 
Customer Name, Registered User Information, and Electronic Notification.
Then on one additional form, fill in ALL the Customer Information and 
the total dollar amounts for different items and services and TOTAL 
PAYMENT.

Ordering by phone with MasterCard, Visa, or American Express:  Dial 
CyberSym Technologies at (801) 753-8384 from 9AM to 6PM Mountain Time, 
Monday thru Friday. Be prepared to provide the information requested on 
the above form.  

Ordering with MasterCard, Visa, or Discover by fax, electronic mail or
regular mail:  Print or copy and complete the above order form. If you 
are ordering multiple copies of Dynamic Gin, please fill in a separate 
form for each copy, providing the information for ordered items and 
services, Customer Name, Registered User Information, and Electronic 
Notification. Then on one additional form, fill in ALL the Customer 
Information and the total dollar amounts for different items and 
services and TOTAL PAYMENT.  

  Send fax orders to CyberSym Technologies at (801) 753-8384 any time - 
  24 hours a day, seven days a week. 
 
  Send CompuServe Mail orders to CyberSym Technologies at 70621,3373.

  Send America Online Mail orders to CyberSym Technologies at CyberSym.

  Send Internet e-mail orders to smartsym@cybersym.com. (Note, although 
  we will accept credit card orders by Internet e-mail, we do not at 
  this time recommend this method of ordering for security reasons.) 

  Send orders by regular mail to CyberSym Technologies, Box 127, 
  Providence, UT 84332, USA.

Ordering from our Internet Web Site:  Visit our Web site at 
http://www.cybersym.com. You can order Dynamic Gin and related products 
by credit card. You can also download backdrop scenery image 
collections and the latest versions of Dynamic Gin.

Ordering through CompuServe's Software Registration Service:  
CompuServe allows you to register shareware and have the charge added 
to your CompuServe bill. To order by this method, log onto CompuServe 
and enter GO SWREG. Search for Dynamic Gin by title. When you have 
found Dynamic Gin, follow the instructions to register it. Regrettably, 
this service provides no mechanism for you to order program or image 
disks. If you need any of these disks, you'll have to order by one of 
the other methods (we sincerely regret the inconvenience!).

Site Licenses and Group Orders:  If you wish to order multiple copies 
of Dynamic Gin as a club or organization, contact CyberSym Technologies 
at one of the addresses above for group rates.