                     REGISTRATION/ORDER FORM

Cheque/Draft/Money Order orders in A$ for Genius for Windows to:
  Peter Resch
  P O Box 1029           Phone:  (071)233399 or Intl+61-71-233399
  Maryborough QLD 4650   E-mail: presch@starvision.brisnet.org.au
  AUSTRALIA

Credit Card and all other orders to:
  ARK ANGLES             Phone:  (047)588100 or Intl+61-47-588100
  P O Box 190            Fax:    (047)588638 or Intl+61-47-588638
  Hazelbrook NSW 2779    Internet:      100237.141@compuserve.com
  AUSTRALIA              CompuServe:                   100237,141

Name    _________________________________________________________

Company _________________________________________________________

Address _________________________________________________________

Town    __________________________  State ________  Code ________

Country _________________________________________________________

Phone   ___________________________  Fax ________________________

E-mail  _________________________________________________________

Where software seen or obtained _________________________________
Computer:  [ ] XT    [ ] AT/286    [ ] 386    [ ] 486    [ ] >486
Memory Size: ____________    Hard Disk Size: __________
Drives: [ ] 5" 360K   [ ] 3" 720K   [ ] 5" 1.2M   [ ] 3" 1.4M
Screen: [ ] Mono/Herc   [ ] CGA    [ ] EGA    [ ] VGA    [ ] >VGA
Dos Ver# _________   Windows Ver# _________   OS/2 Ver# _________
 ___________________________________________ _______ ___________
| P R O D U C T  /  L I C E N S E           | Q T Y | P R I C E |
|___________________________________________|_______|___________|
|                                           |       |           |
|___________________________________________|_______|___________|
|                                           |       |           |
|___________________________________________|_______|___________|
|                                           |       |           |
|___________________________________________|_______|___________|
|                                           |       |           |
|___________________________________________|_______|___________|
| T O T A L                                         |           |
|___________________________________________________|___________|

[ ] Bankcard   [ ] Mastercard   [ ] Visa   [ ] Cash/Cheque/Draft

Credit Card No  ______ ______ ______ ______   Expiry Date ___/___

Cardholder Name _________________________________________________

Signature       _____________________________   Date ____________

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