Funduc Software, Inc. www.funduc.com www.searchandreplace.com V: 248 232-6570 F: 435 921-0900 Decode/Encode DLL Mail & Fax Registration Form As part of the registration, you will also receive free updates and customer support (by E-MAIL) for a year. Updates are sent to registered customers by e-mail as they become available. They incorporate your suggestions so please send them. Purchase Orders? Please see http://www.funduc.com/po_policy.htm or write support@funduc.com before you submit a PO. Please purchase one copy of the DLL per lead software programmer that will be using the code in developing your product(s). In most cases this will be one copy per product. If you will be using the DLLs in more that one product, please purchase one copy per product. Your license will permit you to distribute the DLL with your company's product(s) without any additional fees or royalties. You may NOT ship the Decode/Encode DLL code itself - only your finished product. Credit Card Registrations: Several options are available. 1) Secure Internet Order: If you have a secure Web browser such as Netscape or Internet Explorer, you may register by credit card via a secure Web transaction from our web site at: http://www.funduc.com. 2) Fax Registrations: Complete the form below. Write clearly or type for best results. Fax the completed order form the number indicated on http://www.funduc.com/contact.htm. Fax orders are processed within a few hours during the regular USA business day. Allow 5 days for postal deliveries. Write support@funduc.com if you have a question about your order. 3) Phone Registrations: Call the number indicated on http://www.funduc.com/contact.htm to place a phone order. Please specify that the order is for Decode Encode DLL. Phone orders with email delivery are typically processed within one business day. Allow 5 days for postal deliveries. Write support@funduc.com if you have a question about your order. Ordering by check: Complete the form below. Write clearly or type for best results. Send the completed form and a check to the address indicated on the form below. Payments must be in US dollars drawn on a US bank or international postal money order in US dollars. If you send a postal money order use some form of registered mail that can be traced! Allow 7-10 days for check processing & postal deliveries. Contact support@funduc.com or call 248 232-6570 if you have a question. --------- Cut Here ----------------------------------------------- Complete and print this form. Fax to the number indicated on the http://www.funduc.com/contact.htm page. Check orders should be sent to: Funduc Software Inc. P.O. Box 530904 Livonia, MI 48153-0904 United States NOTE: Cash/Check payments must be in US dollars drawn on a US bank or international postal money order in US dollars. If you make payment by money order we recommend sending by carrier that can be traced. (Print clearly or type) ================================================================= Decode/Encode DLL Mail & Fax Order Price ($US) Number of Total Part Number Product Per Copy Copies Price ----------- ----------------- ------------- --------- --------- 436-DE-1100 Decode-Encode DLLs $ 58.00 ________ $________ Michigan, USA residents add 6% sales tax $________ Preferred Shipping Method Disk (USPS Domestic US) $8.00 S&H $________ Disk (USPS International) $10.00 S&H $________ Email/e-Delivery (Free) $______0_ TOTAL PAYMENT $________ ---------- Credit Card Information & Card Billing Address ------------ Type: Visa[ ] MasterCard[ ] American Express[ ] Discover[ ] Name on card: __________________________________________________ Card number: __________________________________________________ Expiration date: ____________________________ Authorized Signature: ______________________________________________ (As it appears on the back of your card) Date: _________________ Company Name: __________________________________________________ Street Address: __________________________________________________ Street Address: __________________________________________________ City, State, Zip: __________________________________________________ Country: ______________________________ ---- Your Information (Write "Same" if not different from above) ----- Your Name: __________________________________________________ Street Address: __________________________________________________ Street Address: __________________________________________________ City, State, Zip: __________________________________________________ Country: ______________________________ Day Phone Number: ______________________________ Fax Number: ______________________________ E-MAIL Address: ____________________________________________ (example: janedoe@youraddress.com) ========================================================================= Comments: --------- Cut Here -----------------------------------------------