PRODUCT REGISTRATION FORM Mega Edit (TM) Version 2.11 Name: _________________________________ (REG_FORM.TXT) Company/Address: _________________________________ _________________________________ _________________________________ Your Telephone Number: _________________________________ (include area/country code) Disk Media, check one: [ ] 5.25" [ ] 3.5" Registration Name (Capitalization and Punctuation will be exactly as listed) ----------------- Your Name (required): _________________________________ Company/Org. Name (optional): _________________________________ Credit Card Orders Please Check: [ ] MasterCard [ ] Visa [ ] JCB ------------------ [ ] American Express [ ] Discover [ ] Carte Blanche [ ] Diners Club Credit Card Number: _________________________________ Expiration Date: Month ________ Year ______ Cardholder's Signature: _________________________________ (for Mail or Fax orders) Price Calculation Single User Registration Fee: $35.50 ----------------- (Please see SITE.TXT for multiple user fees) Registration Fee: ___________ Kentucky residents add Sales Tax: ___________ $3.50 Unites States Shipping and Handling: ___________ $5.00 Canada & Mexico $9.00 Other countries Total Cost: ___________ Checks or Money orders: Make payable in U.S. currency on a U.S. bank. Credit card payments may be sent via mail, E-Mail, FAX, or telephone. Computer Witchcraft, Inc. Internet: megaedit@witchcraft.com P.O. Box 4189 CompuServe: 76130,1463 Louisville, KY 40204 Fax: (502) 589-7300 U.S.A. Telephone: (502) 589-6800 (800) 589-5999 How did you receive your copy of Mega Edit (TM)? -- Thanks! [ ] CompuServe [ ] BIX [ ] Genie [ ] AOL [ ] Other BBS __________________ [ ] Catalog ______________________ [ ] Other _______________________________