Instructions for Registering Stretch Break and Qualifying for $100 Bonus Thank you for participating in the Stretch Break Bonus Program. You can earn up to $100 by introducing Stretch Break to your company. When you complete and return the following form with your registration fee you will be sent a registered version plus an evaluation package to present to your company. The package will include informative details, a color brochure, and an full featured version of the program to be presented to your organization. If your company purchases a site license for more than 10 workstations, you will be paid a bonus as follows: # of stations Bonus licensed to YOU ------------- -------- 50 or more $100 25 to 49 $50 10 to 24 $24 Thank you for sharing this program with your company. We hope that they purchase a site license so that we can reward you with a bonus. * We recommend that when you give your company the evaluation package you should tell them about the bonus that you or a charity will receive. * * Bonus Qualification and Shareware Registration Form * * Please complete and return to: Para Technologies Voice: 714-546-8619 P.O. Box 1109 FAX: 714-546-4607 Costa Mesa, CA 92628 E-mail: 72317.726@compuserve.com | Note: If you want your bonus to Your | go to a charity please indicate name: _________________________________ | its name and address below. | Address: ______________________________ | | Name of _______________________________________ | Charity: ________________________ | _______________________________________ | Address: ________________________ | Voice Tel: ____________________________ | _________________________________ | E-mail: ____________________________ | _________________________________ | | Who in your company will you give the evaluation package to? We suggest someone concerned with employee health and wellness or workman compensation in the Human Resources Department. Person you will give Stretch Break to: _________________________________ Title: _________________________________ Company: _________________________________ Address: _________________________________ _________________________________ Voice Tel: _________________________________ ******************** Payment Information ******************** Please enclose total payment with your registration. Make check payable to: Para Technologies Registration fee: $19.95 | MASTERCARD AND VISA PURCHASE ----- | | Please bill my: M/C[ ] VISA[ ] Shipping (USA): $ 4.00 | ----- | Name As Appears | On Credit Card: Subtotal: $23.95 | ----- | _______________________________ CA residents please | add 7.75% sales tax: $_____ | Card#__________________________ | Total $_____ | Expiration Date ___/___ | | SIGNATURE: ____________________ ********************************************************************* For Credit Card payment you can fax this form or send e-mail to Para Technologies at the numbers given above.