You are on page 1of 2

=================================================================

Registration of GSview
=================================================================
This registration form is valid until 31 December 2005.
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.
Name: [ ]
Telephone number: [ ]
Internet email address: [ ]
Address:
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
Date this registration was mailed:
[ ] Day [ ] Month [ ] Year
Payment:
[ ] Cheque for USD40 or equivalent in your currency.
(Currency MUST match the bank. For example, USD on USA
bank, GBP on UK bank).
[ ] Cheque for AUD40 (if cheque drawn on Australian bank)
[ ] Credit card for AUD40 (40 Australian Dollars)
Please debit my credit card:
Type: [ ] Visa [ ] Mastercard [ ] Bankcard
Card number: [ ]
Expiry date: [ / ] MM/YY
Name shown on card: [ ]
(BLOCK LETTERS)
Signature: [ ]

=================================================================
Please airmail your registration and payment to
Russell Lang
Ghostgum Software Pty Ltd
218 Gallaghers Rd
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
=================================================================

You might also like