$1 UTILITIES REGISTRATION FORM Your Name: ______________________________________________________ Company Name: ___________________________________________________ Mailing Address: ________________________________________________ City, State, Zip Code: __________________________________________ Telephone Number: _______________________________________________ Quantity Product Description Price Each Total -------- ------------------- ---------- ----- ___ CAPS $1.00 _____ ___ INTERNAL $1.00 _____ ___ MOVE $1.00 _____ ___ NUM $1.00 _____ ___ RENDIR $1.00 _____ ___ RES $1.00 _____ ___ RDEL $1.00 _____ ___ STAMP $1.00 _____ ___ VIEW $1.00 _____ Disk with Latest ___ Version of Above $10.00 _____ Printed ___ Documentation $10.00 _____ TOTAL AMOUNT REMITTED: _____ Please mail your payment to: ImagiSOFT, Inc. P.O. Box 13208 Albuquerque, New Mexico 87192 Everyone who registers will receive a post card thanking them and acknowledging receipt of their payment. Visa, Master Card and American Express cards are accepted for orders of $15 or more. We accept checks written only on US Banks, but cash is welcome in all currencies. Thank you for your business!