---------------------------------------------------------------------- HI-NOTE REGISTRATION FORM VERSION 1.10 ---------------------------------------------------------------------- Name < > --------------------------------------------------- Mailing Address < > --------------------------------------------------- < > --------------------------------------------------- < > --------------------------------------------------- Country < > -------------------------------- E-mail Address < > --------------------------------------------------- Air Mail Response ( ) Check here to have your license number sent to you by Air Mail. If you do NOT check this option, we will send your license number by e-mail. Fees US$15.00 Single-user license (shareware registration) for Hi-Note Payment ( ) Check/Money Order - Checks and money orders must be drawn on a US bank in US dollars. Make payable to CYCLOS. ( ) Visa/MasterCard/JCB - Fill in the information below: Credit Card Number < > ---------------------------------- Expiration Date < > ----------- Card Holder's Name < > ---------------------------------- Signature < > ---------------------------------- ---------------------------------------------------------------------- DIRECTIONS FOR REGISTERING HI-NOTE ---------------------------------------------------------------------- When you register your copy of Hi-Note, you will receive a license number by e-mail or Air Mail. Entering this number will eliminate the reminder screen which Hi-Note displays on unregistered copies. Register On-line ---------------- If you have access to the Web, you may use the on-line registration form at our web site. Point your browser at http://www.cyclos.com/register.html Another Simple Way to Register ------------------------------ If you are paying your registration fee with a check which is imprinted with your name and address, you do not need to use the registration form. Simply follow these steps: 1) Make check payable to "Cyclos" for US$15. 2) Write "Hi-Note" in the memo area of the check. 3) If you wish to receive your license number by e-mail, include your e-mail address on the check. 4) Mail to the address below. Other Ways to Register ---------------------- For all other forms of payment, please fill out the registration form at the start of this document and send it to us by one of the following methods. E-mail: hi-note@cyclos.com Fax: +(1) 415-821-1168 Air Mail: Cyclos PO Box 31417 San Francisco, CA 94131-0417 USA Purchase Orders --------------- We accept purchase orders for orders exceeding US$100 from US government organizations, schools and Fortune 1000 companies. Purchase orders which include patent indemnity clauses or which require a warranty inconsistent with our stated warranty will not be accepted. Terms: Net 30 days Federal Tax ID (EIN): 77-0085574