Registration ---------------------------------------------------- Browning Ware, Inc. 220 Kyser Avenue Bessemer, AL 35021 USA (205) 428-1009 kenbrow@cris.com ---------------------------------------------------- Please Print Store Information EXACTLY as you want it to appear in your software. Store Name: _________________________________________ Address: _________________________________________ City/State/Zip: _________________________________________ Phone: _________________________________________ --------------------------------------------------------- | VideoSys Registration | $125.00 | --------------------------------------------------------- | Shipping/Handling | N/C | --------------------------------------------------------- | Total Due | $125.00 | --------------------------------------------------------- Payment Type: Check/MO Visa/MC Discover Amex Card Owner Name: _________________________________________ Card Number: _________________________________________ Expiration: _________________________________________ Signature: X________________________________________ Ship To: (If different from above) Name: _________________________________________ Address: _________________________________________ City/State/Zip: _________________________________________ For registering ViseoSys, you will receive the latest version of the software, customized with your store information along with a professionally bound User Guide.