Bowerbird (R) Image Manager Order/Registration Contact Information Mr/Ms Other ..... Last Name........................................ First Name...................................................... Company.......................................................... Department....................................................... Address.......................................................... .......................................................... City........................... Post/Zip Code.................... Country.......................................................... Email............................................................ Phone.......................... Fax.............................. Registration Details Name............................................................. Company.......................................................... Note: To receive a registration number and become a registered user, registration details must be completed. The registered user can be either a name, company or both but must contain a minimum of 8 characters in total. The registered user's name and/or company appears on Bowerbird screens and printouts. Note: Issue of a new registration number to suit a company or name change is subject to verification that this a legitimate request. Please Send: ...... copies of Bowerbird(R) @ US$295.00 Total US$....... (******* US$395 after February 28, 1998 *******) Payment Details: (Circle one) Check / Visa / Mastercard / American Express Card Number...........................Expiry Date (MM/YY)........ Signature............................. DEK SOFTWARE INTERNATIONAL 1843 THE WOODS II CHERRY HILL, NEW JERSEY 08003 TEL: 800-335-5595 FAX: 609-424-0785 E-mail: sales@deksi.com WEBSITE: http://www.deksi.com We market the finest software products in the world!