AntiViral Toolkit Pro SINGLE PC (PRIVATE USE) REGISTRATION FORM Secure Antivirus Systems International PO Box 29 Kallangur Australia 4503 Tel: +61 (0)7 3204 5000 Name: ___________________________________________________________ Street Address: _________________________________________________ City: ____________________ State: _________ Postcode: _________ Phone: ________________ Fax: _______________ Date: ___ /___ /___ PRICE: $60.00 (including p&p) PAYMENT ENCLOSED: [ ] Cheque [ ] Money Order CHARGE TO: [ ] Bankcard [ ] Mastercard [ ] Visa Card Number ______-______-______-______ Expiry Date _____ /_____ Cardholder's Name: _____________________________ Cardholder's Signature: ________________________ NOTE: License Key mailed on disk with the latest version of AVP for DOS. Download AVP for other operating systems from www.antivirus.com.au AntiViral Toolkit Pro SITE LICENSE REGISTRATION FORM Secure Antivirus Systems International PO Box 29 Kallangur Australia 4503 Tel: +61 (0)7 3204 5000 Company: ________________________________________________________ Contact Name: ___________________________________________________ Street Address: _________________________________________________ City: ____________________ State: _________ Postcode: _________ Phone: ________________ Fax: _______________ Date: ___ /___ /___ NUMBER OF PCs: ______ LICENSE PERIOD: _______ Price: $_________ PAYMENT ENCLOSED: [ ] Cheque [ ] Money Order CHARGE TO: [ ] Bankcard [ ] Mastercard [ ] Visa Card Number ______-______-______-______ Expiry Date _____ /_____ Cardholder's Name: _____________________________ Cardholder's Signature: ________________________ NOTE: License Key is mailed on disk with the latest version of AVP for DOS Download AVP for other operating systems from www.antivirus.com.au