Familiar Order Form for Payment in UK Pounds -------------------------------------------- Please register me as a licensed Familiar user, and send me a copy of the latest release. Name:___________________________________________ Company:________________________________________ Address:________________________________________ ________________________________________________ ________________________________________________ Phone:__________________________________________ Fax:____________________________________________ E-mail:_________________________________________(Required if ordering with no disks) Payments Due (see price list): ------------------------------ License Type (Please Tick ONE): Single User, No Disks _______ Single User, Disks _______ Registration Price: License Price £_________ Price x ____ copies £_________ Total Payment £_________ Cheque/Draft No: _________________________ Payable To "Red When Excited Ltd" Cheque Guarantee Details: Number _________________________ Expiry _________________________ Signed: _________________________ Date: _________________________ When you have filled in the above details, mail this to: RED When Excited Ltd 15 Edgehill Road Aberystwyth Ceredigion SY23 1LZ UNITED KINGDOM. Optional Information -------------------- How did you hear about Familiar?__________________________ __________________________________________________________ Any Comments:_____________________________________________ __________________________________________________________ __________________________________________________________ Thank you for your interest in this product.