THE RSI-MANAGER FOR WINDOWS                                  ORDERFRM.TXT
        For the Prevention and Effective Treatment of RSI/CTS/OOS
=========================================================================
NOTE:        Please refer to file ORDER.TXT for full information about
             ordering, especially by credit/charge card.
Registration payment may be made by any one of the following methods:
- CHEQUE/     (personal or business)
- BANK DRAFT  Print out this form and fill it in.
              Attach your personal cheque, or bank draft
                for the *US$* amount as per the price list.
              Post to the postal address below.
- Credit-card or charge-card via fax or mail:
              Print out this form and fill it in.
          NB: Please ensure the amount is in *NZ$* as per the price list.
              Fax or mail it to us at the number below.
- Credit-card or charge-card via E-mail:
              Fill out this form by editing it on your PC.
          NB: Please ensure the amount is in *NZ$* as per the price list.
              E-mail the edited form to us at the CompuServe number below
                as a private mail message or private mail file.
- TT          Please refer to instructions in file ORDER.TXT.
-------------------------------------------------------------------------
Payment by: ( ) CHEQUE ( ) BANK DRAFT   ( ) Telegraphic Transfer
            ( ) VISA   ( ) MASTERCARD   ( ) AMEX   ( ) DINERS CLUB
Payment via:( ) Post   ( ) Fax   ( ) E-mail 

Number of Packs ______     Preferred disk size ______ 

Name      ___________________________________________

Mailing   ___________________________________________
Address
          ___________________________________________

Phone     ___________________________________________

Fax       ___________________________________________

Email     ___________________________________________

Where you ___________________________________________
heard about The RSI-Manager

  Please fill in the following information if paying by 
  credit-card or charge-card.

  Value of purchase      ____.__

  Currency:  ( ) U.S.        ( ) New Zealand        (             ) Other

  Card # _______________________________  Expiry date ___________

  Name of cardholder _____________________________________________

  Signature ______________________________________________________

=========================================================================
ADDRESSES:  Postal: Canterbury Technology      Fax/Voice: +64-3328-7384
                      Transfer Ltd             E-mail:    100240.140
                    PO Box 219, Lyttelton                 @compuserve.com 
                    New Zealand                                
=========================================================================

