Contents - Index

Distribution Analyzer Registration Form


Party to Register Software To:


Name: _________________________________________


Company: _________________________________________


Address: _________________________________________

  _________________________________________

  _________________________________________

  _________________________________________


E-mail: _________________________________________


Phone: _________________________________________


Fax Number: _________________________________________



Method of Returning Registration:

            ___   Email          ___  Fax           ___  Mail


Method of Payment - Price is $275 per Registered Copy ($295.63 for residents of Illinois):

Prices are subject to change.  You can verify the price on our web site.

___ Credit Card (VISA, Master Card, American Express or Discover):

   Card Number: __________________________________

   Expiration Date: __________________________________
 
   Name on Card: __________________________________

   Verification Code: __________________________________ 
   (3 digits on back of card except AMEX where 4 digits on front above card number)
 
   Billing Street Address: __________________________________ (if different from shipping address)

   Billing ZIP Code: __________________________________ (if different from shipping address)


  ___ Check (Registration form must be mailed in along with check Payable to Taylor Enterprises, Inc.  Only checks in US dollars can be accepted.)


Further Instructions:

Fax or mail this form to us at:

Taylor Enterprises, Inc.
5510 Fairmont Rd., Suite A
Libertyville, IL 60048
USA

Fax: (847) 367-1037

If you have any questions, you can also contact us at:

Voice: (847) 367-1032
E-mail: info@variation.com
Web: www.variation.com

You will be sent a registration number and instructions on how to enter it into the program.  Responses are typically received within 48 hours (slower if by mail).  You might want to check the Distribution Analyzer home page at http://www.variation.com/da to make sure you have the most recent version.

Thank you for your order.