REGISTRATION/ORDER FORM

To:   ARK ANGLES                                 Phone: Intl+61 47 588100
      24 Alexander Ave                             Fax: Intl+61 47 588638
      Hazelbrook  NSW  2779                               CIS: 100237,141
      AUSTRALIA

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 |
|___________________________________________________|_______|___________|
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|___________________________________________________|_______|___________|
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|___________________________________________________|_______|___________|
|                                                   |       |           |
|___________________________________________________|_______|___________|
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|___________________________________________________|_______|___________|
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|___________________________________________________|_______|___________|
| 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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