UltraEdit Order Form -------------------- If you find UltraEdit/UltraEdit-32 useful, and continue to use it you are required to register it. Registration can be by one of the following methods: 1) Check/Postal Order 2) Credit Card - MasterCard or Visa 3) CompuServe Online registration (GO SWREG, register ID 2662 (UltraEdit) or ID 4017 (UltraEdit-32) 4) Cash. 5) Purchase Order To register send payment/order to: Ian D. Mead 8209 Chestnut Hill Ct. West Chester, OH 45069 USA For Visa/MasterCard orders, you may send E-Mail to: 1) idm@iglou.com 2) CompuServe 71613,2654 or you may order by FAX/Telephone by calling (513) 779 8549. Please provide the following information: Name_____________________________________Company____________________________ Address_____________________________________________________________________ Address_____________________________________________________________________ City___________________ State/Prov.______________Zip/Postal Code____________ Country_____________________________________________________________________ Phone Number__________________________ E-Mail_______________________________ Disk size ____ 5 1/4" ____ 3 1/2" (3 1/2" sent if not specified) Where Did you get UltraEdit/UltraEdit-32 ? __________________________________________________________________________ Please check, ____ UltraEdit ____ UltraEdit-32 Number of Licenses Per/Unit Cost Total $30.00 (Please call for site licenses) Amount Enclosed __________ Payment Method: ____ Check/Money Order ____ VISA ____ MasterCard ____ Cash ____ Other Credit Card #_______________________________________ Expiration Date__________ Signature ___________________________________________ (Only required for mail in and FAX credit card orders) Thank you for registering UltraEdit/UltraEdit-32.