TealPoint Software Registration Form

TealPoint
Software Registration
Please print this form, fill it out, and send it with check or money order to:

TealPoint Software
454 Las Gallinas Ave, Suite #318
San Rafael, CA 94903-3618

      Name ________________________________

      Address _____________________________

      City ____________ State ___ Zip _____

      Ph # ___ - ___ - ____       (Optional)

      E-Mail _____________________(Required)

      HotSync UserID _____________(Required)

      (Your HotSync UserID is shown on the HotSync 
       Application screen as 'Welcome _____' )

             product     qty    price

           TealMeal      [ ] x $13.95 = $_____
           TealPaint     [ ] x $17.95 = $_____
           TealMagnify!  [ ] x $11.95 = $_____
           TealEcho      [ ] x $11.95 = $_____
           TealGlance!   [ ] x $11.95 = $_____
           Other _______ [ ] x $_____ = $_____
           Other _______ [ ] x $_____ = $_____

                       Total Enclosed:  $_____ 


    We appreciate your input:

      How did you hear about us? ___________________________________

      ______________________________________________________________

      ______________________________________________________________

      What products would you like to see? _________________________

      ______________________________________________________________

      ______________________________________________________________

      Additional comments: _________________________________________

      ______________________________________________________________

Thank you for your registration. You will be sent e-mail containing a registration passkey for your HotSync UserID (if appropriate) and notified of upcoming updates. Please visit us at www.tealpoint.com, or email us at contact@tealpoint.com.

Thank you.