>>> Online registration information details available  <<<
>>> at http://beamscreensaver.com                      <<<


       =========================================================
          BEAM SCREENSAVER version 1.73  -  Registration Form
       =========================================================


Print and use this form if you want to register Beam Screensaver
by phone, fax or mail.

RegNow charges additional fee for processing
  mail and fax orders: $2.50 each
     telephone orders: $3.00 each

Make checks payable to Register Now!, including the product ID (3090-1)
on the "memo" of the check. All checks must be drawn on a US bank (USD).
Unfortunately, Eurochecks are not accepted. Sorry.

For MAIL ORDERS - print and fill in the form, sign and send it along
with your check to:

    Register Now!
    Dept# 3090-1
    PO Box 1816
    Issaquah, WA 98027
    United States of America

For FAX ORDERS to - print and fill in the form, sign and fax it using
these numbers:

      Toll Free (US only): 888-353-7276
  Regular (International): 425-392-0223

For TELEPHONE ORDERS - Please have your credit card, postal address and
e-mail address at hand. Please have the vendor code for the product: 3090-1
The name of the product is "Beam Screensaver".

      Toll Free (US only): 877-353-7297
  Regular (International): 425-392-2294


******** IMPORTANT!!! *********

Make sure you provide valid information in "USER NAME" and "USER CODE"
fields. They can be found by opening Beam Screensaver Configuration window
and pressing REGISTER button. These fields are required in order to generate
a SERIAL KEY for you.

For more information, visit our website at http://bravointeractive.com


=============================== CUT HERE =============================
            <<<<<<<< BEAM SCREENSAVER ORDER FORM >>>>>>>>
                          VENDOR ID: 3090-1

******* PERSONAL INFORMATION ********

     First Name: ____________________________________________________

      Last Name: ____________________________________________________

        Company: ____________________________________________________

Billing Address: ____________________________________________________

                 ____________________________________________________

           City: ____________________________________________________

 State/Province: ____________________________________________________

Zip/Postal Code: ____________________________________________________

        Country: ____________________________________________________

          Phone: ____________________________________________________

  Email Address: ____________________________________________________


******** PRODUCT INFORMATION ********

   Product Name: Beam Screensaver
      Vendor ID: 3090-1

******** ORDER INFORMATION ********

     1 copy   (   ) $11.95 each       2-3 copies (   )  $8.00 each

   4-6 copies (   )  $6.25 each      7-10 copies (   )  $5.45 each

               + $2.50 USD order handling fee for fax and mail orders


   TOTAL AMOUNT: USD _________


******** PAYMENT INFORMATION ********

       Name on Card: ________________________________________________
                     (fax orders only)

Type of Credit Card: ________________________________________________
                     (e.g. Visa, Mastercard, fax orders only)

        Card number: ________________________________________________
                     (fax orders only)

    Expiration Date: ________________________________________________
                     (fax orders only)

          Signature: ________________________________