
	To place your order for any Image Factory Software 
	products either:-
	
	1) Visit our internet World Wide Web site at 
	http://www.imagefs.com and fill in the secure online 
	transaction form using your credit card
	or 
	2) Fill in the following order form and MAIL to:
		       
		Image Factory Software Pty. Ltd.
		3 McCleery St,
		Beaconsfield - WA 6162,
		Australia
		
	Please send any email queries to sales@imagefs.com
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         		 -I N V O I C E-

CONTACT POINT
=============
		
NAME/CONTACT____________________________________________________

We need EITHER an email contact point (preferred) OR your address
to send your "Registration" number to 

EMAIL ADDRESS:__________________________________________________

COMPANY_________________________________________________________

STREET__________________________________________________________

CITY_____________________________________ STATE\Prov____________

COUNTRY_________________________ ZIP\Code_______________________

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LICENSE NUMBER
==============

YOUR UNIQUE LICENSE NUMBER______________________________________

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PAYMENT DETAILS
===============

Please tick which product you have/wish to purchase:
						            _
LifeTrax - PIM					$19.95 US  |_|
Screen Saver Only: 52 images			$19.95 US  |_|
Screen Saver Only: 12 images			$14.95 US  |_|

We accept VISA and MasterCard credit cards only. Alternatively, 
just send US Dollars cash (or Australian equivalent).

Name of Credit Card___________________________ (MasterCard/VISA)

CARD #: __________________________________    Exp. Date: ______

Name On Card (exactly): ________________________________________

Signature: ______________________________________________________


Where did you get this product? Please let us know - it really 
helps our future marketing efforts.
_________________________________________________________________


Note: Please check that you have correctly filled in 1) a contact
point (either email or postal address) 2) your unique license 
number (shown in the splash box each time the screen saver runs)
and finally 3) payment details. Without a contact point and your
unique license number we cannot generate your registration number
and return it to you. If you supplied an email address your 
registration number will be immediately sent to you.