PEP REGISTRATION FORM AND INVOICE Price Quantity Total PEP Registration $25 __________ _______________ Massachusetts Residents add 5% _______________ Outside the USA add $5 shipping _______________ Total: _______________ Name: _______________________________________________________________ Address: ____________________________________________________________ City: ______________________________________ State: _______________ Country: ___________________________________ ZIP: _________________ Telephone: (___________) - __________________________________________ [ ] Payment enclosed [ ] Mastercard [ ] VISA Card number: _______________________________ Expiration: __________ Signature: __________________________________________________________ From what vendor did you obtain your shareware copy of PEP: ______________________________________________________________________ Please note: Make checks payable to TRIONUM Inc. The prices given above are in US dollars. After 98DEC31 call for prices: 1-800-TRIONUM. A signature is required for credit card payment. Remit to: TRIONUM Inc. PO Box 305, Kendall Sq. PEP v1.8 [CM] Cambridge, MA USA 02142