REGISTRATION FORM

Please see README.WRI for information on How to Register

Product Name: Vac For Windows
Version No: 1.01

Cost:
One licence per machine
            ___ copies @ $5.00 USD = ____


I would like to pay by: Check/Visa/Mastercard
(For users outside Malaysia, personal checks are not accepted.  
 Please pay by credit card or use bank checks instead.)

If Check:
  A check is enclosed for $_____ USD

If Visa/Mastercard:
  Card No:_________________________

  Expiry date: ____/19____

  Card Holder Name:__________________________
  Card Holder Signature:__________________________


Terms/Conditions:
I agree that Vac is supplied as is.  The author disclaims all warranties,
expressed or implied, including, without limitation, the warranties of
merchantability and of fitness for any purpose.  The user must assume the
entire risk of using the program.  The author assumes no liability for
damages, direct or consequential, which may result from the use of Vac.

A letter will be sent to you to confirm your registration.

Your signature below indicates your acceptance of these terms and conditions.

Signed: __________________________________________  Date: ______________
              


Customer Information
====================

Name: _____________________________________

Gender: M/F  

Occupation:_____________________________________

Title:__________________________________________

Company:________________________________________

Postal Address:___________________________________________________

    ______________________________________________________________

City:___________________________________________

Country:__________________________________________

Phone No: ______________

Fax No:   ______________

Computer model:____________________________

Operating system: Windows 3.1/ Windows NT/ OS/2  Others:______________

Internet/CompuServe address:____________________________


What would you like to see improved or added in Vac (optional):





Where did you find out about Vac (optional):





  Make Checks Payable to:        Peng Software
  and mail along with form to:   74, Jalan SS 2/3,
                                 47300 Petaling Jaya,
                                 Selangor,
                                 Malaysia.

Thank you for your registration!!