                   REGISTRATION/ORDER FORM

To: ARK ANGLES        Phone: (047)588100 or Intl+61-47-588100
    P O Box 190       Fax:   (047)588638 or Intl+61-47-588638
    Hazelbrook 2779   Internet:       arkangles@arkangles.com
    AUSTRALIA         

Name    _____________________________________________________

Company _____________________________________________________

Address _____________________________________________________

Town    ________________________  State _______  Code _______

Country _____________________________________________________

Phone   __________________________  Fax _____________________

E-mail  _____________________________________________________

Where software seen or obtained _____________________________
Memory Size: ____________
Windows Ver# ________   
Disk size preferred: ( ) 3-1/2"    ( ) 5-1/4"

 _______________________________________ _______ ___________
| P R O D U C T  /  L I C E N S E       | Q T Y | P R I C E |
|_______________________________________|_______|___________|
|                                       |       |           |
|Fzip Family Tree_______________________|__1____|__AUD$ 39__|
|                                       |       |           |
|_______________________________________|_______|___________|
|                                       |       |           |
|_______________________________________|_______|___________|
|                                       |       |           |
|_______________________________________|_______|___________|
| T O T A L                                     |           |
|_______________________________________________|___________|

[ ]AmEx  [ ]Bankcard  [ ]Mastercard  [ ]Visa   [ ]Cash/Cheque

Credit Card No  _____ _____ _____ _____   Expiry Date ___/___

Cardholder Name _____________________________________________

Signature       ___________________________   Date __________

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