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  1. ----------------------------------------------------------------------
  2. HI-NOTE REGISTRATION FORM                                 VERSION 1.10
  3. ----------------------------------------------------------------------
  4.  
  5.  
  6.            Name  <                                                   >
  7.                   ---------------------------------------------------
  8.  
  9.  
  10. Mailing Address  <                                                   >
  11.                   ---------------------------------------------------
  12.                  <                                                   >
  13.                   ---------------------------------------------------
  14.                  <                                                   >
  15.                   ---------------------------------------------------
  16.         Country  <                                >
  17.                   --------------------------------
  18.  
  19.  
  20.  E-mail Address  <                                                   >
  21.                   ---------------------------------------------------
  22.  
  23.  
  24. Air Mail Response
  25.     ( )  Check here to have your license number sent to you by Air
  26.          Mail. If you do NOT check this option, we will send your
  27.          license number by e-mail.
  28.  
  29.  
  30. Fees
  31.     US$15.00  Single-user license (shareware registration) for Hi-Note
  32.  
  33.  
  34. Payment
  35.     ( )  Check/Money Order - Checks and money orders must be drawn
  36.          on a US bank in US dollars. Make payable to CYCLOS.
  37.  
  38.     ( )  Visa/MasterCard/JCB - Fill in the information below:
  39.          Credit Card Number  <                                  >
  40.                               ----------------------------------
  41.             Expiration Date  <           >
  42.                               -----------
  43.          Card Holder's Name  <                                  >
  44.                               ----------------------------------
  45.                   Signature  <                                  >
  46.                               ----------------------------------
  47.  
  48.  
  49.  
  50.  
  51. ----------------------------------------------------------------------
  52. DIRECTIONS FOR REGISTERING HI-NOTE
  53. ----------------------------------------------------------------------
  54.  
  55. When you register your copy of Hi-Note, you will receive a license
  56. number by e-mail or Air Mail. Entering this number will eliminate the
  57. reminder screen which Hi-Note displays on unregistered copies.
  58.  
  59.  
  60. Register On-line
  61. ----------------
  62. If you have access to the Web, you may use the on-line registration
  63. form at our web site. Point your browser at
  64.  
  65.    http://www.cyclos.com/register.html
  66.   
  67.  
  68. Another Simple Way to Register
  69. ------------------------------
  70. If you are paying your registration fee with a check which is
  71. imprinted with your name and address, you do not need to use the
  72. registration form. Simply follow these steps:
  73.  
  74. 1) Make check payable to "Cyclos" for US$15.
  75. 2) Write "Hi-Note" in the memo area of the check.
  76. 3) If you wish to receive your license number by e-mail, include
  77.    your e-mail address on the check.
  78. 4) Mail to the address below.
  79.  
  80.  
  81. Other Ways to Register
  82. ----------------------
  83. For all other forms of payment, please fill out the registration form
  84. at the start of this document and send it to us by one of the
  85. following methods.
  86.  
  87. E-mail:    hi-note@cyclos.com
  88.  
  89. Fax:       +(1) 415-821-1168
  90.  
  91. Air Mail:  Cyclos
  92.            PO Box 31417
  93.            San Francisco, CA 94131-0417
  94.            USA
  95.  
  96.  
  97. Purchase Orders
  98. ---------------
  99. We accept purchase orders for orders exceeding US$100 from US
  100. government organizations, schools and Fortune 1000 companies. Purchase
  101. orders which include patent indemnity clauses or which require a
  102. warranty inconsistent with our stated warranty will not be accepted.
  103.  
  104.     Terms: Net 30 days
  105.     Federal Tax ID (EIN): 77-0085574
  106.