How to register Mayura Draw

Please fill in this form, print it, and mail it along with the registration fee.

Registration fee for Mayura Draw is $15 US. Checks should be made out to Mayura Software. Outside USA please send an International Postal Money Order. You can also pay using Visa or MasterCard. To register online using Visa or MasterCard go to www.mayura.com/register.htm

Number of copies you are registering: Total amount ($15 per copy):

Your name and address:
Name:
Address Line 1:
Address Line 2:
Address Line 3:
Address Line 4:
Country:

To receive registration code by e-mail supply your e-mail address:

Fill this section only if you are paying by credit card.

Card type: Visa MasterCard
Credit Card Number:
Expiration date (mm-yy):
Cardholder Name (as on the card):
For verification please enter the billing address of your credit card:
Address Line 1:
Address Line 2:
Address Line 3:
Address Line 4:

Your signature is required for authorization: _______________________________________________
Please print this form and sign above before mailing.

If you have any questions about this form please e-mail info@mayura.com
Address for mailing:
Mayura Software
PO Box 50158
Palo Alto, CA 94303
USA