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  1. .tc ZIP Fugue Registration Form  . . . . . . . . . . . . . . . . . . #
  2. ⁄ƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒø
  3. ≥ Return to:     Fugue Software           Voice +61 7 824 2843         ≥
  4. ≥                P.O. Box 425              Fax  +61 7 824 2843 (same)  ≥
  5. ≥                CAPALABA  QLD 4157       Compuserve 100036,311        ≥
  6. ≥                AUSTRALIA                                             ≥
  7. ≥                                                                      ≥
  8. ≥ Name ______________________________________________________________  ≥
  9. ≥                                                                      ≥
  10. ≥ Company ___________________________________________________________  ≥
  11. ≥                                                                      ≥
  12. ≥ Address ___________________________________________________________  ≥
  13. ≥                                                                      ≥
  14. ≥         ___________________________________________________________  ≥
  15. ≥                                                                      ≥
  16. ≥ Diskette size:     ____ 5.25" acceptable       ____ 3.5" required    ≥
  17. ≥                                                                      ≥
  18. ≥                    [ ]  please send high density disks only          ≥
  19. √ƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒ¥
  20. ≥ Please send me a registered copy of ZIP Fugue (with printed manual)  ≥
  21. ≥                                                                      ≥
  22. ≥   Check here for information on:    [__] Multi-system Licenses       ≥
  23. ≥                                     [__] Reseller Pricing            ≥
  24. ≥                                     [__] Catalog of products         ≥
  25. ≥                                                                      ≥
  26. ≥  Where did you hear about ZIP Fugue? _____________________________   ≥
  27. ≥                                                                      ≥
  28. ≥  __________________________________________________________________  ≥
  29. ≥                                                                      ≥
  30. ≥  I agree to abide by the ZIP Fugue License agreement.                ≥
  31. ≥                                                                      ≥
  32. ≥   Signed                                                             ≥
  33. √ƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒ¥
  34. ≥                                               Quantity   Price       ≥
  35. ≥ Zip Fugue Complete package (DOS & Windows)                           ≥
  36. ≥     ( AUD $35    USD $25   UK ú15 )           ________   __________  ≥
  37. ≥ Zip Fugue for DOS only                                               ≥
  38. ≥     ( AUD $20    USD $14   UK ú10 )           ________   __________  ≥
  39. ≥ Zip Fugue for Windows only                                           ≥
  40. ≥     ( AUD $20    USD $14   UK ú10 )           ________   __________  ≥
  41. ≥                                                                      ≥
  42. ≥ Shipping charges, per copy:                              __________  ≥
  43. ≥                                                                      ≥
  44. ≥ Postage to:                    Total enclosed:           __________  ≥
  45. ≥ Australia       $4 AUD                                               ≥
  46. ≥ New Zealand     $5 AUD    $7 NZD                                     ≥
  47. ≥ USA             $8 AUD    $5 USD                                     ≥
  48. ≥ UK & Europe    $12 AUD    $8 USD     ú5  UK                          ≥
  49. ≥                    I wish to pay by:                                 ≥
  50. ≥     [ ]   Visacard                     [ ]   Cheque                  ≥
  51. ≥     [ ]   Mastercard                   [ ]   Bankcard (Australia)    ≥
  52. ≥                                                                      ≥
  53. ≥Credit Card:  __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __   ≥
  54. ≥                                                                      ≥
  55. ≥ Expiry Date:  ___/___ Name: _________________________________________≥
  56. ≥                                                                      ≥
  57. ≥ Signature :                                                          ≥
  58. ¿ƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒƒŸ
  59.