                       Funduc Software, Inc. 
         Decode/Encode DLLs Mail & Fax Registration Forms

As part of the registration, you will also receive free updates
and customer support (by E-MAIL) for a year.  Updates are sent to
registered customers by e-mail as they become available. They
incorporate your suggestions so please send them.

Please purchase one copy of the DLLs per lead software programmer
that will be using the code in developing your product(s).  In
most cases this will be one copy per product. If you will be using
the DLLs in more that one product, please purchase one copy per
product.

Your license will permit you to distribute the DLLs with your
company's product(s) without any additional fees or royalties.

You may NOT ship the Decode/Encode DLLs code itself - only your
finished product.

Credit Card Registrations: Several options are available. 

 1) Secure Internet Order: If you have a secure Web browser such 
    as Netscape or Internet Explorer, you may register by credit 
    card via a secure Web transaction from our web site at: 
    http://www.funduc.com. 

 2) Via Fax: To register using a credit card via fax, complete the
    form below and fax the completed order to (734) 462-1886.
    Please write clearly or type when you complete the form.  Fax
    orders with email delivery are typically processed within one
    business day.  Allow 7-10 days for postal deliveries. Write
    support@funduc.com if you have a question about your order.

 3) Phone Registrations: Call (734) 462-1552 to order using a credit
    card.  Please specify that the order is for Patch Creator.
    Phone orders with email delivery are typically processed within
    one business day.  Allow 7-10 days for postal deliveries. Write
    support@funduc.com if you have a question about your order.
    
Ordering by check: To order by check, complete the form below and
  mail the form and a check to Funduc Software Inc., P.O. Box
  530904, Livonia, MI 48153 USA.  Please write clearly or type when
  you complete the form.  Please allow 7-10 days for check order
  processing and then contact support@funduc.com if you did not
  receive the program.  Payments must be in US dollars drawn on a US
  bank or international postal money order in US dollars.


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                  FUNDUC SOFTWARE, INC. FAX/MAIL ORDER
 
    Complete and print this form.  Fax it to 435 921-0900 or
    mail the completed form and a check to 
 
                      Funduc Software Inc.
                         P.O. Box 530904 
                     Livonia, MI  48153 USA
 
 NOTE: Payments must be in US dollars drawn on a US bank or an
 international postal money order in US dollars.
 
=================================================================
               Decode/Encode DLLs Mail & Fax Order
 
                                Price ($US)    Number of    Total
Part Number  Product             Per Copy       Copies      Price
-----------  -----------------  -------------  ---------   ---------
 
436-DE-1100  Decode-Encode DLLs   $ 58.00       ________    $________
 
                  Michigan, USA residents add 6% sales tax  $________
 
Preferred Shipping Method
                           3.5 disk (US) $5 S&H   $________
                     3.5 disk (overseas) $8 S&H   $________
                                     Email (Free) $______0_
 
                                   TOTAL PAYMENT  $________
 
Credit Card (Check One): Visa[  ]              MasterCard[  ]   
                          American Express[  ]  Discover[  ]
Your name as it  
 appears on the card: _________________________________________
 
  Credit card number: _________________________________________
 
     Expiration date: ____________________________
 
 Billing address as it appears on your credit card statement:
 
   Street Address: ____________________________________________
 
   Street Address: ____________________________________________
 
 City, State, Zip: ____________________________________________
 
          Country: ______________________________
 
 Authorized Signature:  _______________________________________
                        (As it appears on the back of your card)
 
              Date: _________________
 
 
        Your Name: ____________________________________________
 
   Street Address: ____________________________________________
 
   Street Address: ____________________________________________
 
 City, State, Zip: ____________________________________________
 
          Country: ______________________________
 
 Day Phone Number: ______________________________
 
 Eve Phone Number: ______________________________
 
       Fax Number: ______________________________
 
   E-MAIL Address: ____________________________________________
                       (example: janedoe@youraddress.com)
 
==================================================================
 
Comments & Special Notes:
  
  
 
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