NakedEye's Registration Form


    E-mail:  ____________________
    
    Name:    ________________________________________________________
    Address: ________________________________________________________
             ________________________________________________________
    City:    ________________State:_______ Zip/PostCode:_____________
    Country: _______________

    Phone:   ___ ____ ____________
    Organisation: ___________________________________________________

    Machine type:  8088/6[_]  80286[_]  80386[_]  80486[_]
    Machine name:  __________________________________________________

    Math-Co-Processor:    Y [_]    N [_]
    SoundBlaster card:    Y [_]    N [_]
    Memory size:          1 [_]    2 [_]    4 [_]  Larger [_]
    HardDisk Size:      20M [_]  40M [_]  80M [_]  Larger [_]

    Display type:  Super VGA Resolution

            640x400 [_]  640x480 [_]  800x600[_]   1024x768[_]

    VideoCard name:__________________________________________________

    Floppy drives:   360K [_]   1.2M [_]    720K [_]   1.44M [_]

    Please send checks (or money orders) to:
            
            Van Dao MAI
            50/7 Corrimal St.
            Wollongong N.S.W  2500
            Tel: (042) 213346
            Australia
            
            e-mail: v.mai@uow.edu.au

    Registration fee:

    The registration fee is $20 Aus (About $15 US)
    Please add postage & handling cost
        $5 (US)   for users overseas
        $5 (AUS)  for users in Australia

    Only credit card numbers and bank cheques are accepted if sent
    from overseas. Postal money orders and personal cheques are
    accepted if sent within Australia.

    Special conditions:
    ------------------
        Any supporter of any environmental organisation can ask for
        a free registered copy of the software (see the file README
        for more details).