=======================================================================

                   ThunderByte AntiVirus Professional
               SINGLE PC (PRIVATE USE) REGISTRATION FORM


ThunderByte Australia                         Phone: +61 (0)7 3204 5000
PO Box 29   Kallangur
Australia 4503



Name: ____________________________________________  Date: ___ /___ /___

Street Address: _______________________________________________________

City: _____________________________  State: ___________________________

Country: __________________________  ZIP/Post Code: ___________________

Phone: ____________________________  Fax: _____________________________


OPERATING SYSTEMS:   [ ] DOS+Windows3.xx   [ ] Windows95


LICENSE and SOFTWARE:   $99.00 +$5 p&p  (Australian Dollars!)


METHOD OF PAYMENT:
[ ] Bank Transfer to:   ANZ Bank - Kallangur
                        BSB            : 014244
                        Account Name   : ThunderByte Australia
                        Account Number : 2596 81503


[ ] Cheque   [ ] Money Order   [ ] Bankcard   [ ] Mastercard   [ ] Visa


Credit Card Number ______-______-______-______   Expiry Date ____ /____


Card Holder's Signature ______________________


=======================================================================