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  1.            E Z P N O   R E G I S T R A T I O N   F O R M
  2.  
  3. Kula Software Inc.                                   Date:___________
  4. 6070 Marine Drive
  5. West Vancouver BC Canada  V7W 2S3   
  6.  
  7. order:        1-800-313-6070  
  8. tech support: (604)921-5974  
  9. fax:          (604)921-5973
  10. Internet:     72764.2254@compuserve.com
  11. CompuServe:   72764,2254
  12.  
  13.                 CUSTOMER INFORMATION
  14.  
  15. Name              _____________________________________________
  16. Address 1         _____________________________________________
  17. Address 2         _____________________________________________
  18. Address 3         _____________________________________________
  19. Postal Code/ZIP   _____________________________________________
  20. Telephone         day:__________________ eve:__________________
  21. Fax               _____________________________________________
  22.           
  23.                 
  24.                 REGISTRATION
  25.  
  26. Software obtained from _______________________   version_______
  27. Registration Code      ________________________________________
  28.  
  29. Payment:  Visa  Cheque  Money Order           Diskette:  3 1/2    5 1/4       
  30.  
  31. Credit card (Visa)______________________________ Exp. date MM:____YY:____
  32. Signature         ______________________________
  33.  
  34. =========================================================================
  35. |Description                  |  Qty  |   Price    |  Extension         |
  36. |===========                  |  ===  |   =====    |  =========         |
  37. |EZPNO v1.1 software license, |       |            |                    |
  38. |EZPNO v2.0 and user manual   |       |   29.95 US |                    |
  39. |                                                  |                    |
  40. |EZNOTE for Windows optional              10.00 US |                    |
  41. |     Outside USA and Canada              15.00 US |                    |
  42. |                                                  |                    |
  43. |SHIPPING AND TAXES:                               |                    | 
  44. |In USA and Canada add $2 shipping and handling    |                    |
  45. |Other countries add $5 shipping and handling      |                    |                                                       
  46. |Canadian residents add 7% GST                     |                    |
  47. |B.C. residents add 7% PST                         |                    |      
  48. |                                                  |                    |
  49. |   *** Canadian customers at par value ***        |Total =>            |
  50. =========================================================================
  51.  
  52.                 CUSTOMER PROFILE
  53.  
  54. Sex                M    F                Age_____
  55. CPU type          _____________________ Sound Card_____________________
  56.  
  57.                 FEEDBACK
  58.     _______________________________________________________________
  59.     _______________________________________________________________
  60.     _______________________________________________________________