Complete the form below to register your Infoflex software programs for personal use on a single computer. INFOFLEX REGISTRATION FORM for FlexED for Single Users ONLY PROGRAM: # COPIES AMOUNT FlexED HTML Editor (AUS $29.95) ________ $________ Add $6.00 Postage & Handling if Required $________ TOTAL . . . . . . . . . . . . . . . . . . . . $________ PAYMENT INFORMATION: CHARGE: MasterCard ___ Visa ___ Bankcard ___ Cheque/Money Order ___ Card Number :___________|____________|____________|_____________ Expiry Date :____/____ Card Issued To:__________________________________________________ Signature :__________________________________________________ MAILING ADDRESS: Name:____________________________________________________________ Address:_________________________________________________________ City/State/Province:_____________________________________________ Country/Postal Code:_____________________________________________ Telephone (Voice/FAX/Modem):_____________________________________ Internet Email Address:__________________________________________ FAX Registration Forms to +61 2 894-2067 MAIL Infoflex Pty Ltd Unit 27, 15 Terminus Street Castle Hill, 2154 NSW AUSTRALIA ________________________________________________________________ Internet Email: sales@infoflex.com.au Internet FTP: ftp.infoflex.com.au WWW: http://www.infoflex.com.au ________________________________________________________________