                         REGISTRATION/ORDER FORM

Send multiple product orders to:               LONG LIFE FLOWERS orders to:

ARK ANGLES                                     Creative Visions Software
24 Alexander Ave                               P O Box 540
Hazelbrook  NSW  2779                          Heathmont  VIC  3135
AUSTRALIA                                      AUSTRALIA
Phone:     (047)588100                         Phone:     (03)7203809
  or Intl+61-47-588100                           or Intl+61-3-7203809
Fax:       (047)588638                         Fax:       (03)7203677
  or Intl+61-47-588638                           or Intl+61-3-7203677
Internet:   100237.141@compuserve.com
CompuServe: 100237,141

From: Name    ___________________________________________________________

      Company ___________________________________________________________

      Address ___________________________________________________________

      Town    ____________________________  State ________  Code ________

      Country ___________________________________________________________

      Phone   ____________________________  Fax _________________________

Where did you obtain or hear about the software? ________________________

Computer:      [ ] XT     [ ] AT/286     [ ] 386     [ ] 486     [ ] >486
Memory Size: ____________    Hard Disk Size: __________
Drives:  [ ] 360K 5.25"   [ ] 720K 3.5"   [ ] 1.2M 5.25"   [ ] 1.44M 3.5"
Screen:    [ ] Mono/Herc     [ ] CGA     [ ] EGA     [ ] VGA     [ ] >VGA
Dos Version# _______    Windows Version# _______    OS/2 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                                                 |           |
|___________________________________________________________|___________|

[ ] Bankcard    [ ] Mastercard    [ ] Visa    [ ] Cash/Cheque/Draft/Order

Credit Card No  _______ _______ _______ _______   Expiry Date ____ / ____

Cardholder Name _________________________________________________________

Signature       _______________________________   Date __________________

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