PSELECT REGISTRATION FORM Name: _______________________________________________ Company: _______________________________________________ Address: _______________________________________________ _______________________________________________ _______________________________________________ City: _______________________________________________ Prov/State: _______________________________________________ Country: _______________________________________________ Postal/Zip Code: _______________________________________________ Phone: _______________________________________________ Fax: _______________________________________________ Please fill out the above information, and send it along with $99.00 (CDN Funds) or 89.00 (US Funds) to: Software Solutions 234 Weldon Ave. Oakville, Ontario Canada L6K 2H8 Phone: (416) 849-0930 Fax: (416) 849-0930 CIS E-Mail: 76137,3150