To receive technical support for Particle Phantasy 1.xx, please fill out the form below and send it along with your payment. You will be emailed a serial number and be registered for full support. Prices are in US dollars, all payments must be in US dollars (check or money order, DO NOT SEND CASH). ******************************************************************************** Particle Phantasy 1.20 - for Win95/WinNT 4.0 Registration Form ******************************************************************************** Send completed form along with payment to: Zytopia Software PO Box 656 Hawthorne, FL 32640-0656 USA ******************************************************************************** # of Copies | Item | Intro Price | Total | ******************************************************************************** | Particle Phantasy | $24.95 | | ******************************************************************************** ******************************************************************************** Florida residents please add 6% sales tax. Sales Tax (FL) | | ******************************************************************************** Total | | ******************************************************************************** We reserve the right to add any applicable sales taxes to your order. We reserve the right to refuse any sale. ******************************************************************************** Customer Information (please print or type): Name: __________________________________ Company: __________________________________ Street Address: __________________________________ City: __________________________________ State/Prov: __________________________________ Zip/Postal code: __________________________________ Country: __________________________________ Valid email address (required on all orders): __________________________________ Thank you for registering this program!