CRESOTECH SAFESUITE REGISTRATION VIA FAX, PHONE OR ORDINARY MAIL

You can register Cresotech SafeSuite via phone, fax or ordinary mail. Please print out the form below, and fax or mail it to:

Regsoft Check Processing Dept.
9625 West 76th Street, Suite 150
Eden Prairie, MN 55344 USA

Tel. 1-877-734-7774 (US/Canada)
Tel. 1-952-646-5079 (International orders)

Fax. 1-800-886-6030 (US/Canada, toll-free)
Fax. 1-208-279-3837 (International orders)

Payment by Check or Money Order:
Attach your check or money order, in the amount of $26.00, to this form.

Please make all checks payable to Regsoft.com.

Registration form for Cresotech SafeSuite Bundle

Product No.: 39912

Last name: ________________________________________________

First name: _______________________________________________

Company: __________________________________________________

Street and #: _____________________________________________

City, State, postal code: _________________________________

Country: __________________________________________________

Phone: ____________________________________________________

Fax: ______________________________________________________

E-Mail: ___________________________________________________

*** Please do not forget to include your e-mail address. ***
    *** We will use e-mail to communicate with you. ***

How would you like to pay the registration fee:

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credit card - wire transfer - cheque - cash

Credit card information (if applicable)

Credit card:

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Visa - Eurocard/Mastercard - American Express - Diners Club

Card holder: ________________________________________________

Card No.: _________________________ Expiration Date: ________

Date / Signature: ___________________________


Thanks for ordering Cresotech SafeSuite!