WINFLASH 3.0 REGISTRATION FORM (Corporate Licenses Available - Inquire by CompuServe or US Mail) PLEASE REPLACE THE UNDERSCORES IN THE FORM WITH YOUR REGISTRATION DATA, PRINT THE FORM AND MAIL (OR E-MAIL) WITH YOUR REGISTRATION FEE OF $19.95 PER LICENSE PLUS $3.00 SHIPPING AND HANDLING TO: Dick Bryant CompuServe - 75236,3243 Open Windows Internet - 75236.3243@compuserve.com P.O. Box 49746 AmericaOnLine - DickBryant Colorado Springs, CO 80949-9746 *** Non US Residents Please Send US Currency Or Use Visa/MC *** * Utilisateurs Francophones, Lisez Le Fichier FRANCAIS.TXT, SVP. * Phone registrations (only, please) - 719-531-0403 _________________________________________________________________ Name ____________________________________________________________ Address _________________________________________________________ _________________________________________________________________ City _________________________ State ______ Zip Code ____________ Date ________________ Amount Enclosed $________ ****************** VISA/MasterCard Information ****************** Card Number ____________________________________ Exp.Date_______ Name As Shown On Card _________________________________________ Signature (Typed OK For E-Mail)_________________________________ ***************************************************************** Disk Size Preference ___ 3 1/2" ___ 5 1/4" I obtained my evaluation copy from ____________________________ CompuServe, AOL or Internet e-mail address ___________________ (If your e-mail address is included, I'll send your Registration Key by e-mail for speedier service) Suggestions: THANK YOU FOR YOUR SUPPORT OF THE SHAREWARE CONCEPT