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2 Registration of GSview
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4
5 This registration form is valid until 28 February 2008.
6 Please clearly fill in the details below (typewritten preferred),
7 making sure you include your postal code (if any) and your country.
8 All registrations must be clearly signed.
9 The registration number will be emailed to you.
10
11 Name: [ ]
12
13 Telephone number: [ ]
14
15 Internet email address: [ ]
16
17 Address:
18 [ ]
19 [ ]
20 [ ]
21 [ ]
22 [ ]
23 [ ]
24 [ ]
25
26 Date this registration was mailed:
27 [ ] Day [ ] Month [ ] Year
28
29 Payment:
30 [ ] Cheque for USD40 or equivalent in your currency.
31 (Currency MUST match the bank. For example, USD on USA
32 bank, GBP on UK bank).
33
34 [ ] Cheque for AUD40 (if cheque drawn on Australian bank)
35
36 [ ] Credit card for AUD40 (40 Australian Dollars)
37
38 Please debit my credit card:
39
40 Type: [ ] Visa [ ] Mastercard [ ] Bankcard
41
42 Card number: [ ]
43
44 Expiry date: [ / ] MM/YY
45
46 Card holder name: [ ]
47 (BLOCK LETTERS)
48
49 Signature: [ ]
50
51
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53
54 Please airmail your registration and payment to
55 Russell Lang
56 Ghostgum Software Pty Ltd
57 218 Gallaghers Rd
58 GLEN WAVERLEY VIC 3150
59 AUSTRALIA
60 This address will change in March 2008.
61
62 or if paying by credit card, you can fax it to
63 +61 3 9886 6616
64
65 Russell Lang gsview@ghostgum.com.au
66 Ghostgum Software Pty Ltd ABN 49 085 392 632
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