*** AUS REGISTRATION FORM *** Name ______________________________ Company ______________________________ Address ______________________________ City/State ______________________________ Zip/Postal Code ______________________________ Country ______________________________ Phone ______________________________ EMAIL ADDRESS ______________________________ If you include your email address, we can send you the registration code immediately. I AM ORDERING: ( ) 7 in 1 Poker Patience (AUS $23) POSTAGE & PACKING ----------------- Please add $8 (AUS) for postage and packing charges if you need the software to be sent to you. If you already have the software and only require the registration code, then there is no P&P charge. Amount Enclosed: $_________ Make your cheque or money order payable to SHAREWARE AUSTARLIA. Mail payment and registration form to: SHAREWARE AUSTRALIA PO Box 1075 Maroubra NSW 2035 AUSTRALIA Payment Method: ___Check ___Money Order ___BankCard ___VISA ___MasterCard ___AMEX Credit Card Number #____________________________ expiry ____/____ For credit card orders: Call (02) 9565-2339 (Order and Information) (02) 9565-2362 (FAX) Order Online at: http://www.shareware-australia.com/ultisoft/index.htm