Novanto Registration Form ------------------------- If you like the program and wish to own a license to use it, please print out and mail us this Novanto Registration form and your payment. All registered users receive updates via electronic mail. Please be sure to include your e-mail address. Please make checks payable to Bill Kearney. Send to: Bill Kearney P.O.Box 201 Lutherville, MD 21093-0201 Please me sure to send US funds only! Checks, Cash and Travellers Cheques are acceptable. If you send foreign funds, I cannot accept them. Please note, a handling fee of $20 will be charged if you bounce a check. If you send cash, be sure to wrap it in dark paper so the mailman won't steal it! Your Name ____________________________________________ Address ______________________________________________ ______________________________________________________ City _________________________________________________ State _____ Zip ______________ Country _____________ Computer Preference: [ ] Mac [ ] Windows Important! Be sure to include these! e-mail Service ________________________________________ e-mail address ________________________________________ _________ Quantity of Licenses (ONE per Newton) x $15.00 Price per License ($15 US/each) _________ Subtotal _________ Maryland Sales Tax (%5 or $.75 ea) - MD residents only. _________ Disk mailed to you instead of e-mail ($5 shipping & handling fee) _________ Total Enclosed I have read, understand, and agree with the NOVANTO SOFTWARE LICENSE agreement (your signature is required): Signature: ________________________________ Date: ___________ (note this document displays best in Courier 10pt or Monaco 9pt)