ORDER FORM FOR CREDIT CARD ORDERS FROM SHAREWARE-AUSTRALIA ========================================================== Use this form only if you are ordering by FAX or mail from Shareware-Australia. DO NOT SEND CREDIT CARD ORDERS DIRECTLY TO KATMAR SOFTWARE. Send the completed form to :- **NOTE** This address is for Shareware-Australia ORDERS ONLY. Any questions on PO Box 1075 the status of the shipment of Maroubra NSW 2035 the order, refunds, registration Australia options, product details, technical support etc must be FAX (02)9565-2362 directed to Katmar Software's South African or email address. Registration for : Project Risk Analysis by Katmar Software __ Licence type : Single User Licence $Aus 125-00 |__| (tick one) Site Licence $Aus 400-00 |__| Note : Prices above are in **Australian** Dollars Registration Details Your Name : ___________________________________________ Your Company Name : ___________________________________________ Your Address : ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Your Email Address : ___________________________________________ Your Fax Number : ___________________________________________ Credit Card Details Name as on Card : ___________________________________________ Billing Address : ___________________________________________ ___________________________________________ ___________________________________________ Credit Card type : Bankcard/Mastercard/Eurocard/Visa (circle one) Credit Card Number : ___________________________________________ Expiration Date : _________________________________ ( mm/yy ) Total Amount in $Aus : __________________________ (see cost above) Signature : ______________________Date : ______________