---------------------------------------------------------------------------- ULTRAFIND FOR MACINTOSH & POWER MACINTOSH JAPAN REGISTRATION FORM PLEASE WRITE CLEARLY ---------------------------------------------------------------------------- Fax to: 0044-181-941-9666 - or - Post to: UltraDesign Technology Ltd. The Phoenix Taggs Island Hampton TW12 2HA United Kingdom Please complete this Registration Form and send it to UltraDesign Technology together with your payment. You will receive a Serial Number for your copy of UltraFind in approximately 10 days by normal post (or much faster by email). ---------------------------------------------------------------------------- Name : Organization : Mailing Address : Country : Japan E-mail Address : ---------------------------------------------------------------------------- License Type | UK Pounds | = J-YEN *| -----------------------------------------------|----------------|----------| | | | UltraFind 1-User License: | ___ x £ 25 | ¥ 4,600 | | | | UltraFind 5-User License: | ___ x £ 87 | ¥16,000 | | | | UltraFind 10-User License: | ___ x £120 | ¥22,000 | | | | | TOTAL:£_______ | | ---------------------------------------------------------------------------- * Yen/Pound exchange rate as at 1/7/1997. Your credit card will be charged in UK Pounds. The amount will be converted automatically into Yen by your credit card company at today's exchange rate. ---------------------------------------------------------------------------- Method of payment: ____ Credit Card: JCB / VISA / MASTERCARD (Sorry NO American Express) Card Number:________/________/________/________/ Expiry date: _____/_____ Card Holder's Name: ___________________________ Signature: ____________________________________ Today's Date: _____________ ____ Cheque in UK Pounds or US Dollars * Please note: cheques in UK Pounds must be from a UK bank, cheques in US Dollars must be from a US bank. * Please make cheques payable to "UltraDesign Technology Ltd." ____ International Money Order (in UK Pounds) * Please make money orders to "UltraDesign Technology Ltd." and send to our postal address (above). ----------------------------------------------------------------------------