REGISTRATION/ORDER FORM From: Name ___________________________________________________________ Company ___________________________________________________________ Address ___________________________________________________________ Town ____________________________ State ________ Code ________ Country ___________________________________________________________ Phone ____________________________ Fax _________________________ Where did you obtain or hear about the software? ________________________ Computer: [ ] XT [ ] AT/286 [ ] 386 [ ] 486 [ ] >486 Memory Size: ____________ Hard Disk Size: __________ Drives: [ ] 360K 5.25" [ ] 720K 3.5" [ ] 1.2M 5.25" [ ] 1.44M 3.5" Screen: [ ] Mono/Herc [ ] CGA [ ] EGA [ ] VGA [ ] >VGA Dos Version: _______ Windows Version: _______ OS/2 Version: _______ ___________________________________________________ _______ ___________ | P R O D U C T / L I C E N S E | Q T Y | P R I C E | |___________________________________________________|_______|___________| | | | | |___________________________________________________|_______|___________| | | | | |___________________________________________________|_______|___________| | | | | |___________________________________________________|_______|___________| | | | | |___________________________________________________|_______|___________| | T O T A L | | |___________________________________________________________|___________| [ ] Bankcard [ ] Mastercard [ ] Visa [ ] Cash/Cheque/Draft/Order Credit Card No _______ _______ _______ _______ Expiry Date ____ / ____ Cardholder Name _________________________________________________________ Signature _______________________________ Date __________________ Comments: ----------------------------- Cut here ---------------------------------- HOW TO REGISTER The easiest way to register is to GO SWREG on CompuServe. The id for SkedEzy is 3427. Otherwise, send the information requested on the order form to the most convenient distributor from the list below, together with your payment. There are a variety of ways of doing this. For example, you could edit and print the form, or print it off and fill it out by hand - this is if you wish to use a postal address. Alternatively, you could just phone or e-mail the requested information, quoting a credit card number. Note: All prices below include a $4 shipping and handling fee. ------------------------------------------------------------------------ Author: Tim Parish TOPline Software Payment: AUS$28.95 cash, cheques or money orders only Address: PO Box 66 Rundle Mall Adelaide SA 5000 AUSTRALIA Phone: (08)2934890 or Intl+61-8-2934890 Compuserve: 100351,2443 ------------------------------------------------------------------------ Distributor: Rob McDonell ARK ANGLES Payment : AUS$28.95 cash, cheque, money order, bank draft cards - BankCard, Visa or MasterCard Address: 24 Alexander Ave Hazelbrook NSW 2779 AUSTRALIA Phone: (047)588100 or Intl+61-47-588100 Fax: (047)588638 or Intl+61-47-588638 CompuServe: 100237,141 ------------------------------------------------------------------------ Distributor: PsL (Public Software Library) Payment: US$25.95 card ONLY - MasterCard, Visa, Amex or Discover Address : PO Box 35705 Houston TX 77235-5705 USA Phone: 800-2424-PsL or 713-524-6394 Fax: 713-524-6398 CompuServe: 71355,470 Comment: Quote product number 11496 ------------------------------------------------------------------------ Distributor: Pik A Program, Inc. Payment: US$25.95 check, draft, MasterCard, Visa, Amex, Discover or we can even take your check over the phone! Address: 13 Saint Marks Place New York, New York 10003 USA Phone: (212) 598-4939 ORDERS ONLY: 1-800-TOREGISTER 1-800-867-3447 Fax: (212) 228-5879 CompuServe: 73730,2117 Internet: 73730,2117@compuserve.com Comment: all international payments should be in USA funds, drawn on a US bank. For U.S. users, the latest version of SkedEzy is available from Pik A Program's home BBS, Software Creations. You can reach this BBS at the following numbers: (508) 365-2359 - 2400 Baud V42 MNP5 (508) 368-7036 - 14.4K V32(BIS) DS (508) 368-4137 - 16.8k HST USR