SimFero Registration Form

After ordering SimFero, you will receive a license number which the program will use to recognize you as a customer and prevent the shareware screen from displaying at startup.  It will also allow you to add custom themes which you can either download from our web site or create by yourself.  You will receive free tech support via email.

We only accept money orders and personal checks (must be payable through a U.S. bank).  We have to let the personal checks clear before we can send you the license. We do not mail out disks, unless requested to.  Then there will be a handling charge for it. Checks must be payable to Aleksandr Slutsky.

*Name:		___________________________________________________

Company:	___________________________________________________

*Address:	___________________________________________________

*City:		___________________________________________________

*State:		____________		*ZIP:     _______-_____

Phone:		(____)____-______	Fax:	  (____)____-______

Email address:	___________________________________________________

Where did you hear about or get SimFero?

	o Internet - web site or FTP site: _______________________________
	o BBS
	o From another person
	o Other ___________________________________________________

Comments:  ________________________________________________________

	      ________________________________________________________

Order Information

SimFero Registered Version 1.0 . . . . . . . $5.95 each		$__________

Shipping: US . . . . . . . . . . . . . . . . . . . . . . .  $0.32
	   All others . . . . . . . . . . . . . . . . . .  $0.50		$__________
- Do not add if shipping via e-mail

					Total		$__________

Choose shipping method:	o US Mail
			o Internet
Send orders to:
	Aleksandr Slutsky
	358 21st Ave. #2
	San Francisco, CA 94121
	simfero@bigfoot.com