NakedEye's Registration Form



    E-mail:  _______________________
    
    Name:    ________________________________________________________
    Address: ________________________________________________________
    City/Suburb: ______________ State:_______ Zip/PostCode:__________
    Country: _______________

    Phone:   ___ ____ ____________
    Organisation: ___________________________________________________

    Machine type:  8088/6[_]  80286[_]  80386[_]  80486[_]
    Machine name:  __________________________________________________

    SoundBlaster card:    Y [_]    N [_]  Pro [_]  Normal [_]
    Math-Co-Processor:    Y [_]    N [_]
    Memory size:          1 [_]    2 [_]    4 [_]  Larger [_]
    HardDisk Size:      20M [_]  40M [_]  80M [_]  Larger [_]

    Registration fee: 
                                     $AUS   Please tick
    Version 1.02a   (revised)          15      [_]
    Version 1.10                       20      [_]
    Postage + Diskettes (OverSeas)      5      [_]
    Postage + Diskettes (Australia)     3      [_]
                                     ----

    Please send checks (or money orders or credit card details) to:

        Van Dao MAI
        50/7 Corrimal St.
        Wollongong N.S.W  2500
        Australia

    Special condition:
    ------------------
    Any supporter of any environmental organisation can ask for
    a free registered copy of the software (see the file README
    for more details).