Please use the following form when registering Button Manager for Windows via cheque or money order. Please consult the Registration Process help topic or the README.TXT 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, or if you wish to register on-line via CompuServe. Note that Credit Card orders cannot be made by mailing this form to AKC. 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, Orleans, Ontario, Canada, K1C 7J8 Please PRINT clearly or TYPE this form. Thank You. 1. NAME AND ADDRESS INFORMATION Name: _______________________________________________ Address _______________________________________________ _______________________________________________ City: ______________ State/Prov: ______________ Country: ______________ Zip/Post Code: ______________ Phone: ______________ Fax Number: ______________ E-Mail Address _____________________________ (CompuServe, Internet): 2. PRODUCT ORDER INFORMATION A single registration entitles the user to use the product on any one machine at any one time. Simultaneous 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 see 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 $______ [ ] $20 US funds x ___ Copies = [ ] $24 Canadian Total Enclosed $______ Preferred Disk Size [ ] 3.5", 1.44Mb [ ] 3.5", 720Kb [ ] 5.25" 1.2Mb 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? ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________