REGISTRATION/ORDER FORM To: ARK ANGLES Phone: ++61-2-4758-8100 PO Box 190 Fax: ++61-2-4758-8638 Hazelbrook 2779 E-mail: arkangles@compuserve.com AUSTRALIA Web site: www.pnc.com.au/~arkangle Name _____________________________________________________ Company _____________________________________________________ Address _____________________________________________________ _____________________________________________________ _____________________________________________________ Country _____________________________________________________ Phone __________________________ Fax _____________________ E-mail _____________________________________________________ Where software seen or obtained _____________________________ Disk Drives: [ ]3.5" [ ]5.25" [ ]CD-ROM Windows Version# ___________ Other OS 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 | | |_______________________________________________|___________| [ ]AmEx [ ]Bankcard [ ]Diners [ ]Mastercard [ ]Visa Credit Card No _______________________ Expiry Date ___/___ Cardholder Name _____________________________________________ Signature ___________________________ Date __________ Comments: