Licensing Options and Prices:
    http://www.greyware.com/licenses

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                         R E G I S T R A T I O N   F O R M
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  Information about You:

  First                                 Last
  Name    ___________________________   Name  _________________________

  Company _____________________________________________________________

  EMail   _____________________________________________________________
          (example:  john.doe@youraddress.com)

  Street  _____________________________________________________________

          _____________________________________________________________

  City    ________________________  State/Prov.________________________

  Zip/Post________________________  Country    ________________________

  Phone   ________________________  Fax        ________________________

  
  Select a Product:
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  | Product                                      | Quantity |   Price |
  |--------------------------------------------- |----------|---------|
  |                                              |          |         |
  |--------------------------------------------- |----------|---------|
  |                                              |          |         |
  |--------------------------------------------- |----------|---------|
  |                                              |          |         |
  |--------------------------------------------- |----------|---------|
  |                                              |          |         |
  |--------------------------------------------- |----------|---------|
  |                                              |          |         |
  |--------------------------------------------- |----------|---------|

                                                    Total:  __________


  __ Check or Money Order enclosed (US Dollars only)

  __ Bill my Visa / Mastercard / Discover (circle one)

      Credit card number: ____________________

         Expiration date: ____ (Month) _____ (year)

            Name on card: _____________________

  NOTE:  All payments must be in US Dollars, drawn on a US Bank.

Print out this page and mail to:

    Greyware Automation Products
    3300 Big Horn Trail
    Plano, TX  75075
    USA

Or fax it to:
 
   (972) 599-9175

Or call your order in to:  (972) 867-2794

