Complete the form below to register your Infoflex software programs. FLEXED REGISTRATION FORM ======================== PROGRAM: # COPIES AMOUNT FlexED HTML Editor (AUS $29.95, US $25.00) For Windows 3.1x ______ $________ For Windows 95 ______ $________ Add $10.00 Postage & Handling if Required ______ $________ TOTAL . . . . . . . . . . . . . . . . . . . . . $________ PAYMENT INFORMATION: ==================== MasterCard ___ Visa ___ Bankcard ___ Cheque/Money Order ___ Card Number :__________|___________|____________|___________ Expiry Date :____/____ Card Issued To :_______________________________________________ Signature :_______________________________________________ MAILING ADDRESS: ================ Name :_______________________________________________ Address :_______________________________________________ City/State :_______________________________________________ Country/PostCode :_______________________________________________ Voice/FAX/Modem :_______________________________________________ Email Address :_______________________________________________ _________________________________________________________________ FAX : Registration Forms to +61 2 9894-2067 (Australia) PHONE: +61 2 9894-1313 (Australia) MAIL : Infoflex Pty Ltd Unit 27, 15 Terminus Street Castle Hill, 2154 NSW AUSTRALIA _________________________________________________________________ Internet Email: sales@infoflex.com.au Internet FTP: ftp.infoflex.com.au WWW: http://www.infoflex.com.au _________________________________________________________________