                   REGISTRATION/ORDER FORM

To: ARK ANGLES             Phone:            ++61-2-4758-8100
    PO Box 190             Fax:              ++61-2-4758-8638
    Hazelbrook 2779        E-mail:   arkangles@compuserve.com
    AUSTRALIA              Web site: www.pnc.com.au/~arkangle

Name    _____________________________________________________

Company _____________________________________________________

Address _____________________________________________________

        _____________________________________________________

        _____________________________________________________

Country _____________________________________________________

Phone   __________________________  Fax _____________________

E-mail  _____________________________________________________

Where software seen or obtained _____________________________

Disk Drives:       [ ]3.5"         [ ]5.25"         [ ]CD-ROM

Windows Version# ___________   Other OS Version# ____________
 _______________________________________ _______ ___________
| P R O D U C T  /  L I C E N S E       | Q T Y | P R I C E |
|_______________________________________|_______|___________|
|                                       |       |           |
|_______________________________________|_______|___________|
|                                       |       |           |
|_______________________________________|_______|___________|
|                                       |       |           |
|_______________________________________|_______|___________|
|                                       |       |           |
|_______________________________________|_______|___________|
| T O T A L                                     |           |
|_______________________________________________|___________|

[ ]AmEx   [ ]Bankcard   [ ]Diners    [ ]Mastercard    [ ]Visa

Credit Card No  _______________________   Expiry Date ___/___

Cardholder Name _____________________________________________

Signature       ___________________________   Date __________

Comments:
