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  1.  
  2.  
  3.                        COMTEXT v1.8  Registration Form
  4.                                (Please print)
  5.  
  6.          Name:.........................................................
  7.  
  8.          Company  (if applicable):.....................................
  9.  
  10.          Address: .....................................................
  11.  
  12.                   .....................................................
  13.  
  14.          Country: .....................................................
  15.  
  16.          Phone Home:......................Phone Work...................
  17.  
  18.          Number of Registrations (AU$30.00 each or   #................
  19.                                   US$24.00 each
  20.                              or UK pounds 14.00 ea.)
  21.          Shipping (AU$3.00 or AU$6.00 if overseas)   $................
  22.           (or US$4.50 or UK pounds 3.00 if overseas)
  23.          T O T A L                                   $................
  24.  
  25.          Method of payment:[ ] Credit card [ ] cheque [ ] Money Order 
  26.                                                       [ ] Cash
  27.          Please debit my : [ ] Visa
  28.                            [ ] Mastercard
  29.                            [ ] Australian Bankcard
  30.  
  31.          Card number    |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
  32.  
  33.  
  34.          Expiry date    .................
  35.  
  36.          Full name on card ...........................................
  37.  
  38.          Signed: .............................    Date: ..............
  39.  
  40.  
  41.          The program is supplied on 3.5" HD disk.
  42.  
  43.          The registration price is AU$30.00, or US$24.00, or UK pounds 14.00
  44.          For shipping within Australia add AU$3.00, for shipping to other
  45.          countries add AU$6.00 (or US$4.50 or UK pounds 3.00).
  46.          All cheques must be drawn on an Australian bank in AU$, US$, or UK
  47.          pounds.
  48.  
  49.          Please send registration to:
  50.  
  51.          Compusoft International                Phone and fax:
  52.          P.O.Box 411                            (08) 844-744-39
  53.          Kilkenny  SA  5009                     (618) 844-744-39  Overseas
  54.          Australia
  55.  
  56.