Please use the following form when registering Button Manager for Windows via cheque or money order. Once prepared, this form should be mailed to the following address with a cheque or money order made payable to "AKC Applied Knowledge Corp": 6128 Red Willow Drive, Gloucester, Ontario, Canada, K1C 7J8 Note that Credit Card orders cannot be made by mailing this form to AKC. Please consult the Registration Process help topic or the README file on how to contact PsL Public (software) Library by phone, fax, e-mail, or mail, if you wish to make a credit card order. Please PRINT clearly on this form. Thank You. 1. NAME AND ADDRESS INFORMATION Name: _____________________________________________________ Address:_____________________________________________________ _____________________________________________________ City: __________________ State/Province: ________________ Country:__________________ Zip/Postal Code: ________________ Phone Number:__________________ Fax Number: ________________ E-Mail Compuserve: ____________ E-Mail Internet: ____________ 2. PRODUCT ORDER INFORMATION A single registration entitles the user to use the product on a single machine. Use of the product on more than one machine requires a license for each machine. Site licenses are available by contacting us (see contacting us help topic, or read the README.TXT file). Shipping and handling charges are included in the prices listed below, depending on whether: (a) you DON'T want the latest disk, or [ ] $15 US funds x ________ Copies = $____________ [ ] $19 Canadian (b) you DO want the latest disk, and reside in North America. [ ] $20 US funds x ________ Copies = $____________ [ ] $24 Canadian (c) you DO want the latest disk, and reside outside North America. [ ] $25 US funds x ________ Copies = $____________ [ ] $29 Canadian Preferred Disk Size [ ] 3.5", 1.44Mb [ ] 3.5", 720Kb [ ] 5.25" 1.2Mb Total Enclosed $____________ 3. DISTRIBUTION INFORMATION To help us with distribution, could you please identify where you obtained this product: [ ] Downloaded from BBS (Name: ________________________) [ ] Shareware Catalog Vendor (Name: ___________________) [ ] Retail Shareware Store (Name: _____________________) [ ] From a Friend [ ] Ordered it from AKC directly [ ] Other ______________________________________________ 4. COMMENTS AND SUGGESTIONS To help us make this a product which serves your needs better, do you have any comments or suggestions you could offer? _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________