****************************************************************
=-=-=-=-   Zip Wizard Pro order form - Credit Card =-=-=-=-=-=-=
****************************************************************

Fill out the information below and forward to Synaptek    <R-A2>
==================================================================

CUSTOMER INFORMATION:
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Last Name: _________________  First: ________________ Initial:___

Address: ________________________________________________________

City:_____________________________ Prov/State: __________________
   	           
Country: ________  ZIP / Postal Code: __________    date: _______        

EMail Address:___________________________________________________

Daytime Phone : ____________________  FAX : _____________________

                      PLEASE PRINT CLEARLY


PAYMENT: 
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 MASTERCARD____ VISA ____ 

 Card Number _____________________________________________ 

 Expiry Date __________ 

 Card Holder's Name ________________________________________ 

 Signature: ________________________________________________ 



 Shipping method - select one: 
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  ___ WEBship(tm): No shipping charges.  ( requires EMail address.* ) 
  ___ Air Mail: $5 dollars shipping.     ( 3.5" diskette )


 * Those requesting WEBship will be sent instructions by email on how to 
download their registered copy on the Internet. 

You will need Netscape or Internet Explorer to download the self-installing 
program that is approximately 750K in size. 



 PRICING: (All dollar values in Canadian Dollars) 
=============================================================================
 Prices guaranteed until Dec 31 1997 - You receive both 16 and 32 bit versions 

   Zip Wizard Pro                            $39.95 CDN (approx $29 U.S.)

   Add $5 dollars for delivery by Air Mail.  $________

   Total                                     $________


 Note:  Purchase price will be converted to your local 
        currency by Visa or MasterCard. 




 Submit Registration by: 
=============================================================================
   Mail
             Synaptek Software 
             1188 Ostler Ct. 
             Mississauga On 
             Canada L5C 3G6
   Fax
             (905) 897-7622                                                  
   EMail    
             (CIS) Synaptek@compuserve.com 
             (AOL) Synaptek@aol.com 
             (MSN) Synaptek@msn.com 
             (Internet) Sales@zipwiz.com

                    =-=-=-=-=-=-   END  -=-=-=-=-=-=-=-=-=

        Copyright  1994-1997 Synaptek Software. All right reserved 
