Dynamic Gin (TM) v1.26 Purchasing Form and Information
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Dynamic Gin Registration:                                     $ 12.00  

Optional floppy disks containing the Dynamic Gin program 
files or collections of additional backdrop scenery images 
for use with Dynamic Gin:

  16-bit program disk for Windows 3.1, NT, and 95 ($3.00/disk) _________
  32-bit program disk for Windows 95 only  ($3.00/disk)        _________
  Five 256-color backdrop scenery images  ($5.00/disk)         _________
  Five 16-color backdrop scenery images  ($5.00/disk)          _________

Disk Shipping OUTSIDE North America  ($2.75/address)           _________
Optional gift wrapping  ($3.50/address)                        _________
Optional express shipping ($10.00/USA 48 states NOT AK or HI)  _________

TOTAL PAYMENT                                                 $_________


CUSTOMER/RECIPIENT INFORMATION:

Name: __________________________________________________________________
Address: _______________________________________________________________
________________________________________________________________________
City: ________________________________ State/Province: _________________
Postal Code: __________ Country: ________________ Phone: _______________
E-mail Address: ________________________________________________________

Most customers choose to receive their registration keys and 
instructions by electronic mail (in addition to the usual postal mail).
Do you wish to receive your registration keys by e-mail?   __Yes    __No


CHARGE CARD INFORMATION (if paying by charge card):

Charge Card:   __Mastercard   __Visa   __Discover   __American Express
Card Number: _____________________________ Expiration Date: ____________
Cardholder Name: _______________________________________________________
Billing Address (if different from above): _____________________________
________________________________________________________________________
City: ________________________________ State/Province: _________________
Postal Code: __________ Country: ________________ Phone: _______________
Authorized Signature: ________________________________Date: ____________


If paying by check or money order (mail orders only) make payable to: 
CyberSym Technologies (see more detailed instructions below).

Send mail orders to CyberSym Technologies, P.O. Box 127, Providence, UT 
84332, USA.
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WEB SITE ORDERING:  Visit our Web site at http://www.cybersym.com. 
You can order Dynamic Gin and related products with MasterCard, Visa, 
Discover, or American Express Card using our secure charge card ordering 
system. You can also download backdrop scenery image collections and the 
latest versions of Dynamic Gin. With all the recent increase in traffic 
on the World Wide Web, please be aware that Web connections don't always 
work the first time. If you don't get a connection to our Web site, try 
again at a later time.


PHONE ORDERING with MasterCard, Visa, Discover or American Express: 
Call CyberSym Technologies Monday thru Friday between 9AM and 6PM 
Mountain Daylight Time. Inside the USA and Canada, dial 1-888-223-7796 
(toll-free). Elsewhere dial 1-435-753-8384. Be prepared to provide the 
information requested on the above form.  


MAIL ORDERING:  You can order Dynamic Gin by mail, with payment by 
either check or charge card (see below). Print and complete the order 
form above. Send your form (and payment) to CyberSym Technologies, P.O. 
Box 127, Providence, UT 84332. Please include either a phone number or 
an e-mail address so we can contact you promptly if there is any 
question about your order.

  PAYMENT BY CHECK:  Payment must be in U.S. dollars (either drawn on 
  a U.S. bank or an international postal money order in U.S. dollars). 
  Make your check payable to CyberSym Technologies. Canadian customers: 
  note that you can use your regular checks as long as you clearly 
  indicate that payment is in U.S. funds (e.g. $12.00/U.S. funds or 
  12 dollars U.S.)

  PAYMENT BY CHARGE CARD: We accept MasterCard, Visa, Discover, and 
  American Express Card.  Make sure to fill out the charge card portion 
  of the Order Form.

  
ORDERING BY FAX:  You can fax your order for Dynamic Gin to us, using 
your MasterCard, Visa, Discover, or American Express Card for payment. 
Complete the above order form, making sure to include the necessary 
credit card information. Please also include either a phone number or 
an e-mail address so we can contact you promptly if there is any 
question about your order. Send your fax order to CyberSym Technologies 
any time - 24 hours a day, seven days a week. Inside the USA and Canada, 
dial 1-888-223-7796 (toll-free).  Elsewhere dial 1-435-753-8384. Please 
set your fax machine to dial automatically (rather than manually) so our 
line switching equipment can route your call correctly.


ORDERING BY E-MAIL:  You can e-mail your order for Dynamic Gin, using 
your MasterCard, Visa, Discover, or American Express Card for payment. 
Simply copy the above form into your e-mail message.  Then fill in the 
necessary order, customer, and charge card information. 

  Send CompuServe Mail orders to CyberSym Technologies at 70621,3373.
  Send America Online Mail orders to the screen name CyberSym.
  Send Internet e-mail orders to smartsym@cybersym.com.
  
Please be aware that credit card information sent in an Internet e-mail 
message is not strictly secure, although there really have never been 
any documented problems.  Orders ARE secure if sent directly from your 
CompuServe address to our CompuServe address or from your AOL address to 
our AOL address.


ORDERING THROUGH COMPUSERVE'S SWREG SERVICE:  CompuServe allows you to 
register shareware and add the charge to your CompuServe bill. To order 
by this method, log onto CompuServe and enter or select GO SWREG. At the 
first screen select Register Shareware. (If you're unfamiliar with the 
process for registering shareware through the SWREG service, you might 
want to first read the instructions by selecting Instructions for 
Registering Shareware.) You can select Dynamic Gin by searching either 
for the Dynamic Gin title or by searching for the Registration ID 11705 
(16-bit edition) or 11706 (32-bit edition). When you have found Dynamic 
Gin, read the description and follow the remaining instructions to 
register it. Regrettably, this service provides no mechanism for you to 
order program or image disks. If you need any of these disks, you'll 
have to order by one of the other methods (we sincerely regret the 
inconvenience!).


ORDERING GIFTS OR MULTIPLE COPIES:  If you want to order more than one 
copy of Dynamic Gin, or if you want to order Dynamic Gin as a gift, you
can do so by phone, mail, fax, or e-mail. Please see the instructions 
in the Dynamic Gin online help under the topic Ordering Gifts or 
Multiple Copies.  


GROUP ORDERS AND SITE LICENSES:  We offer educational, site, and/or 
special group licenses for clubs or organizations.  If you wish to order 
multiple copies of Dynamic Gin as a club or organization, contact 
CyberSym Technologies by phone at 1-888-223-7796 (toll-free) in the USA 
and CANADA or at 1-435-753-8384.


