I wish to register my copy of SCREEN Thief. Please send me the latest
    registered version on 5.25"/3.5" diskette along with a printed manual
    for which I enclose full payment.

        Name ____________________________________________________________

        Company _________________________________________________________

        Address _________________________________________________________

                _________________________________________________________

                _________________________________________________________

        Post Code / Zip Code _____________  Country _____________________

        Where did you obtain SCREEN Thief? ______________________________

    The registered price is as follows and may be paid by cheque, VISA
    card or MasterCard/EuroCard:

    USA                : $39.00 including s&h (add $10 for FEDEX if needed)
    UK and EC          : 29.95 Pounds Sterling plus VAT (35.19 in total)
    Rest Of The World  : 34.95 Pounds Sterling including Air Mail postage

    Now available - SCREEN Thief for Windows! Read STWIN.INF file for
    details. Normally priced at 19.95 pounds, you can get both SCREEN Thief
    and SCREEN Thief for Windows for these special prices:

    USA                : $49.00 including s&h (add $10 for FEDEX if needed) 
    UK & EC            : 39.95 Pounds Sterling plus VAT (46.94 in total)
    Rest Of The World  : 44.95 Pounds Sterling including Air Mail postage

    Please send SCREEN Thief for Windows too! [ ] (Tick if required)

    Please charge my VISA/MasterCard No. ________________________________

                                 Expires ________________________________

                               Signature ________________________________
    
    Mail, Fax or Phone your cheque or Credit Card details to:

    USA, Canada and Mexico:   FormGen Inc.
                              7641 E Gray Road
                              Scottsdale
                              AZ 85260-3425
                              USA
                              Tel: (800) 263-2390 Orders Only
                                   (905) 857-4141 International Orders
                                   (905) 857-4531 FAX
                                   (905) 857-0022 Technical Support

    UK, EC & Rest Of World:   Nildram Software
                              82 Akeman Street
                              Tring
                              Herts HP23 6AF
                              United Kingdom
                              Tel: +44 (0)1442 891331
                              Fax: +44 (0)1442 890303
                              Email: sales@nildram.com

        Please write, telephone or fax for Site License details