Change-Point Analyzer - Fax or Mail Registration Form

Party to Register Software To:

User Name:           _________________________________________

Company:               _________________________________________

Mailing Address:      _________________________________________

                                _________________________________________

                                _________________________________________

                                _________________________________________

E-mail:                     _________________________________________

Phone Number::       _________________________________________

Fax Number:            _________________________________________

Method of Returning Registration:

___ Email ___ Fax ___ Mail

Method of Payment - Price is US$80 per Registered Copy:
(Note: 8% sales tax will be added for residents of Illinois making the total $86.40)

___ VISA ___ Master Card ___ Discover ___ American Express (personal) ___ American Express (company):

Number: __________________________________

Expiration Date: __________________________________

Name on Card: __________________________________

Verification Code: __________________________________

(3 digits on back of card except American Express where 4 digits on front above card number)

Billing Address: _________________________________________ (if different from mailing 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 user name and code along with 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 Change-Point Analyzer home page at http://www.variation.com/cpa to make sure you have the most recent version of the software.

Thank you for your order.

Change-Point Analyzer - Fax or Mail Registration Form

Party to Register Software To:

Method of Returning Registration:

Method of Payment - Price is US$80 per Registered Copy: (Note: 8% sales tax will be added for residents of Illinois making the total $86.40)

Further Instructions:

Method of Payment - Price is US$80 per Registered Copy:
(Note: 8% sales tax will be added for residents of Illinois making the total $86.40)