=-=-=-=-=-=-=-=-=- SafeGard Registration form  -=-=-=-=-=-=-=-=-=-=

Provide information required and forward to Synaptek.

a) Fill out the Customer Information section.
b) Select the payment method you desire. (Note: US/CAN/INTER)
c) Provide Credit/Cheque/Money order for indicated amount.
d) Call/Fax/Mail/Email orders to Synaptek.

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How to Contact Synaptek.
------------------------
                Orders - 1-800-465-7047  (Credit card orders)

                Voice  - (905) 276-8835
                FAX    - (905) 897-7622

                EMail  -      (CIS) 74167,722
                              (AOL) Synaptek
                         (INTERNET) synaptek@hookup.net
 
                Mail  -  Synaptek Software
                         1188 Ostler Ct
                         Mississauga 
                         On Canada  
			 L5C 3G6	

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CUSTOMER INFORMATION:
=======================

Last Name: _________________  First: ________________ Initial:___

Address: ________________________________________________________

City:_____________________________ Prov/State: __________________
   	           
Country: ________  ZIP / Postal Code: __________    date: _______        

EMail Address:___________________________________________________

Daytime Phone : ____________________  FAX : _____________________


Disk Size Required: ___  (3.5 inch disk is sent if not specified).
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PAYMENT BY CREDIT CARD: (US/CAN/INTERNATIONAL)
=======================

VISA ___  MasterCard ___  

Card Number ______________________________________________________

Expiry Date __________

Card Holder's Name _______________________________________________

CREDIT CARD PRICING:  (Canadian Dollars)
===========================================
SafeGard - 			 $39.95   (Approx $29 US)
S&H Canada/US			  $5.00
S&H International                $12.00

Canadian orders add GST           $3.15
 Ontario orders add PST           $3.60

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PAYMENT BY CHEQUE/MONEY ORDER:  (United States)
===============================================

US CHEQUE PRICING:  (US Dollars)
===========================================
SafeGard - 			 $29.95 
S&H 	               		  $5.00

Make cheques payable to Synaptek Software.
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PAYMENT BY CHEQUE/MONEY ORDER:  (Canada)
========================================

CANADIAN CHEQUE PRICING:  (Canadian Dollars)
============================================
SafeGard - 			 $39.95 
S&H 	               		  $5.00

Canadian orders add GST           $3.15
 Ontario orders add PST           $3.60

Make cheques payable to Synaptek Software.
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PAYMENT BY MONEY ORDER:  (International)  
========================================

INTERNATIONAL PRICING:  (Canadian Dollars)
===========================================
SafeGard - 			 $39.95 
S&H 	               		 $12.00

Make money orders payable to Synaptek Software.

NOTE: We cannot accept checks from outside North America.
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SITE LICENSES:

Contact Synaptek for information on pricing.


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TERMS:
-------
  VISA, Mastercard, Cheque, Money orders accepted.  
  Make Cheques and money orders payable to Synaptek Software.
  Prices and terms subject to change without notice.
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				END

