Shareware Administration Kit Fax Order form (RegNow Item Nr. 1297-4) Please Fill out this Form and fax it to: Toll Free: 877-353-7276(USA only) Regular: (425) 392-0223 (located in the USA) Delivery is done through a registration code that unlocks all features of the application. The code will be sent to you via email within 48 hours. If you should not receive your registration code, please e-mail the author of Shareware Administration Kit at support@lobstersoft.com as there is most likely a problem with your registration. ---Personal Information First Name: Last Name: Company: Street Address: City: State/Province: Zip/Postal Code: Country: Phone: Email Address: ---Order Information Quantity: Price: 45US$ ---Payment Information Name on Card: Type of Credit Card: Visa, Mastercard, American Express, and Discover Accepted! Card Number: Expiration Date: ---Miscellaneous Information How did you hear about Shareware Administration Kit?: Which version of Shareware Administration Kit are you currently using?: