REGISTRATION/ORDER FORM Credit Card Orders Only: You can order with MC, Visa, Amex or Discover from Public (software) Library by calling 800-2424-PsL or 713-524-6394 or by FAX to 713-524-6398 or by CIS Email to 71355,470. You can also mail credit card orders to PsL at PO Box 35705, Houston, TX 77235-5705. Other Orders and All Enquiries: Write to TOPline Software at PO Box 66, Rundle Mall SA 5000, AUSTRALIA, or call (08) 2934890 (within Australia) or Intl+61-8-2934890 (elsewhere). 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: