To place your order for any Image Factory Software products either:- 1) Visit our internet World Wide Web site at http://www.imagefs.com and fill in the secure online transaction form using your credit card or 2) Fill in the following order form and MAIL to: Image Factory Software Pty. Ltd. 3 McCleery St, Beaconsfield - WA 6162, Australia Please send any email queries to sales@imagefs.com ----------------------------------------------------------------- -I N V O I C E- CONTACT POINT ============= NAME/CONTACT____________________________________________________ We need EITHER an email contact point (preferred) OR your address to send your "Registration" number to EMAIL ADDRESS:__________________________________________________ COMPANY_________________________________________________________ STREET__________________________________________________________ CITY_____________________________________ STATE\Prov____________ COUNTRY_________________________ ZIP\Code_______________________ ----------------------------------------------------------------- LICENSE NUMBER ============== YOUR UNIQUE LICENSE NUMBER______________________________________ ----------------------------------------------------------------- PAYMENT DETAILS =============== Please tick which product you have/wish to purchase: _ LifeTrax - PIM + Screen Saver: 52 images $39.95 US |_| LifeTrax - PIM + Screen Saver: 12 images $34.90 US |_| Screen Saver Only: 52 images $19.95 US |_| Screen Saver Only: 12 images $14.95 US |_| We accept VISA and MasterCard credit cards only. Alternatively, just send US Dollars cash (or Australian equivalent). Name of Credit Card___________________________ (MasterCard/VISA) CARD #: __________________________________ Exp. Date: ______ Name On Card (exactly): ________________________________________ Signature: ______________________________________________________ Where did you get this product? Please let us know - it really helps our future marketing efforts. _________________________________________________________________ Note: Please check that you have correctly filled in 1) a contact point (either email or postal address) 2) your unique license number (shown in the splash box each time the screen saver runs) and finally 3) payment details. Without a contact point and your unique license number we cannot generate your registration number and return it to you. If you supplied an email address your registration number will be immediately sent to you.