ViewFX Pro 2.x -- Site Registration Form

1. Site information:

Site Name: _________________________________________________________________
Site Address:_______________________________________________________________
City: ___________________ Prov/State:_______________ Postal/ZIP: ___________
Country (if other than CANADA):_____________________________________________
Phone number: (___)______________ Date (MM/DD/YY): ____/____/_______________
Authorized representative: _________________________________________________
E-mail address (optional):__________________________________________________

2. Choice of registered version(s) (check all that apply,
   up to the total number of copies being registered):

__ ViewFX Shareware Ver. 2.x DOS
__ ViewFX PRO Ver. 2.x DOS

3. Shipping and Handling (check one):

__ E-mail uuencoded file to: ____________________________________
__ 3.5'' DS/HD disks (Shipping and Handling: CAN: $5.00  
         disk *, USA: $9.00 Outside North America: $15.00 *)

* Each version checked in item (2) requires one separate disk.

4. Payment and fees:

Fees are in U.S. dollars, please do not send cash. Checks and
money orders must be made payable to TOR Computerized Systems Inc.
Select form of payment (check one):

__ Enclosed check or money order in U.S. dollars
__ Credit card payment: ___ VISA   ___ MasterCard __ AMEX   
   Card Number: ______________________________
   Expiration Date (MM/YY): ____/____
   Cardmember signature (required): ______________________________

5. Pricing for the use of ViewFX Pro 2.x or newer, per site 
   computer (Write for pricing on quantities over 99 computers):

__  1st to 4th computer at $69: .......................... = $ 69.00
__  5th to 19th computer at $49 each: .......... ____ x 49 = $______
__ 20th to 99th computer at $39 each: .......... ____ x 39 = $______
__ 100 or more computers at $29 each: .......... ____ x 29 = $______
__ Total Shipping and handling (if not E-mail).............. $______

Total:...................................................... $______

6. Mail this form together with payment to:

   TOR Computerized Systems Inc.
   Attn: Tony Uccello
   160 Applewood Cres., #14,15
   Concord Ontario, L4K 4H2
   CANADA

   Or: If credit card payment was selected, this form may be faxed to 
   905-660-1382 (Toronto, Canada) or E-mailed to sales@torcomp.com.