Registration Form
-----------------

To register fill out and print out this form and send it in with payment
(see easyhome.txt).  Fill in ALL the blanks.  For options, eg (option1/
option2/option3) cross out or delete the inappropriate ones.


Price for one copy is:

US Dollars Price         - $25
	or
Australian Dollars Price - $33

(or equivalent of US Price + $5 (US) in your countries currency)

Check (Cheque), international money order (Australian dollars) or
Cash (NOT recommended!) are accepted.  All checks payable to
Dylan Radcliffe.

If buying more than five (5) copies check the cheaper prices per
copy in EASYHOME.TXT.

SEE EASYHOME.TXT FOR MORE INFORMATION


**************************************************

Send form and money to:

Dylan Radcliffe
14 Jenkinson St
Indooroopilly, QLD
4068
AUSTRALIA



Your Full Name (or the name of your company)


____________________________________________



Address

Line 1:____________________________________________


Line 2:____________________________________________


Town/City:_____________________________________________


State/Province:_____________________________________________


Post Code (Zip Code): ________________________________________


Country:__________________________________________


E-Mail Address (MAKE SURE THIS IS CORRECT):

____________________________________________________



   ++++++++++++++++++++++++++++++++++++++++++++++


(I / My company) wish to order _________ licences of Easy Home


Page at the price of (check price list)  _________________ each


Enclosed you will find a (check/international money order/cash)


for the sum of __________________.  Please send my


registration code and serial number to me immediately.


Options


Send code and serial number by (e-mail / normal mail / both)




(Send / Do not send) me the latest version of Easy Home Page


via E-mail.


(Send / Do not send) me future updates of Easy Home Page via


E-mail.


(Send / Do not send) me information about future releases and


other products via E-mail.


I have read the above and have filled in the form correctly.


Signature  _________________________________________________


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