Print Screen Deluxe 6.0 Order Form and Registration Name ______________________________________________ Company _____________________________________________ Address ______________________________________________ City ____________________________ State ______ Zip __________ Phone (______) ______-________ Fax (______) ______-________ e-mail ___________________ Important: Is this your first product from American Systems? ( )Yes ( )No _____ Number of Copies of Print Screen Deluxe x $29.95 = $ ____________ (TEXAS residents add 8 1/4% sales tax.) American Express ( ) Visa ( ) or MasterCard ( ) Number ________________________________ Exp. Date ___________ Signature: _________________________________________________ Make checks and money orders payable to American Systems. P.O.s welcome! Bulk pricing is available! Mail, or Fax your check or credit card details to : American Systems P.O. Box 93747 Southlake, TX 76092 Care of Windows Utilities Division Fax:(817)485-2193 or order online at http://www.americansys.com and get your software right away or CALL US TOLL FREE at 1(888)892-4310 and place your order today. Where did you get your evaluation copy from? Name of source ___________________________________________ Note: Prices are effective November 1, 2005 and are subject to change. Please enclose any comments you have.