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On-Line Registration Form

Registering your purchase allows us to provide support better  tailored to your needs.  You can register on-line using this form or by post.   Please complete this form and click on the Submit button.  Alternatively return the card provided.   Any information provided will be treated in confidence.  

Press the TAB key to switch between fields.

Please provide the following contact information (* are required fields):

First name
* Last name
Job Title
* Organisation
* Street address
Address (cont.)
* Town/City
County/State/Province
* Post code/Zip code
Country
Work Telephone
FAX
E-mail
Web address

Please provide the following product information:

Product name
Version number
Supplied by:
* Serial number (to be found on CD Jewel case)

Please indicate the type of Organisation. Choose one of the following options:

Primary School
Secondary School
Further Education establishment
Agriculture
Building
Computing
Defence
Electronics
Financial
Retail
Government - Local
Government - National
Manufacturing
Telecomms
Transport
Utility
Other     Please state:

 

Please enter the date of purchase * :  -- dd/mm/yy

Your impressions of the product and our ability to support you is important to us.     Please let us have any comments you may have so that we can continue to improve:


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Copyright © 1998-2001 Microlynx Software Engineering Limited   E&OE
Last modified: June 03, 2004