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Site registration of GSview
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This registration form is valid until 31 December 2008.
Please clearly fill in the details below (typewritten preferred), 
making sure you include your postal code (if any) and your country.  
All registrations must be clearly signed.
The registration number will be emailed to you.

Registered Name: [                                              ]

Telephone number:  [                                            ]

Internet email address:  [                                      ]

Address:
[                                                               ]
[                                                               ]
[                                                               ]
[                                                               ]
[                                                               ]
[                                                               ]
[                                                               ]

Date this registration was mailed:  
    [    ] Day        [    ] Month       [        ] Year

Site registration:
    [ ] Site registration for 10 computers, AUD100

    [ ] Site registration for 100 computers, AUD400


    [ ] Site registration for ______  computers, AUD________
        (email for quote)

Payment Method
    [ ] Cheque (Currency MUST match the bank.  For example, AUD 
        on an Australian Bank, USD on USA bank, GBP on UK bank).

    [ ] Credit card

  Please debit my credit card: 

  Type:     [ ] Visa       [ ] Mastercard       [ ] Bankcard (AU/NZ)

  Card number:         [                                        ]
 
  Expiry date:         [    /    ]      MM/YY

  Card holder name:    [                                        ]
  (BLOCK LETTERS)

Signature:   [                                                  ]


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Please airmail your registration and payment to
   Russell Lang
   Ghostgum Software Pty Ltd
   25 Kennedy St
   GLEN WAVERLEY   VIC  3150
   AUSTRALIA

or if paying by credit card, you can fax it to
   +61 3 9886 6616

Russell Lang       gsview@ghostgum.com.au
Ghostgum Software Pty Ltd    ABN 49 085 392 632
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