Dynamic Gin (TM) 1.17 Purchasing (Registration) Form and Information
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Dynamic Gin Registration:                                     $  12.00  

Optional floppy disks containing the Dynamic Gin program 
files or collections of additional backdrop scenery images 
for use with Dynamic Gin:

  16-bit program disk for Windows 3.1, NT, and 95  ($3.00/disk)_________
  32-bit program disk for Windows 95 only  ($3.00/disk)        _________
  Five 256-color backdrop scenery images  ($5.00/disk)         _________
  Five 16-color backdrop scenery images  ($5.00/disk)          _________

Disk Shipping outside USA, Mexico, or Canada  ($2.75/address)  _________
Optional gift wrapping  ($3.50/address)                        _________
Optional express shipping ($10.00/USA 48 states NOT AK or HI)  _________

TOTAL PAYMENT                                                 $_________


Customer Information:

Customer (Cardholder) Name: ____________________________________________
Billing Address: _______________________________________________________
________________________________________________________________________
City: ________________________________ State/Province: _________________
Postal Code: __________ Country: ________________ Phone: _______________
Charge Card:   __Mastercard   __Visa   __Discover   __American Express  
Card Number: _____________________________ Expiration Date: ____________
Authorized Signature: ________________________________Date: ____________

Registered User (or gift ship to) Information: (if different from above)

Registered User Name: __________________________________________________
Address: _______________________________________________________________
City: ________________________________ State/Province: _________________
Postal Code: ________ Country: ______________________

E-mail Notification of Registration Keys:

To speed up delivery of the registration keys, we can send the keys by
electronic mail in addition to the usual postal mail.  If you desire 
such electronic notification, please fill in the appropriate e-mail 
address for the registered user below (not recommended for surprise 
gift orders):

E-mail address: ________________________________________

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Ordering by Check:  To purchase Dynamic Gin by check, print the form 
above, complete it, and send it with a check for the total payment to 
CyberSym Technologies, P.O. Box 127, Providence, UT 84332. Payments 
must be in U.S. dollars (either drawn on a U.S. bank or an 
international postal money order in U.S. dollars). If you need to order 
multiple copies of Dynamic Gin, please fill in a separate form for 
each copy, providing the information for ordered items and services, 
Customer Name, Registered User Information, and E-mail Notification.
Then on one additional form, fill in ALL the Customer Information and 
the total dollar amounts for different items and services and TOTAL 
PAYMENT.

Ordering by phone with MasterCard, Visa, Discover or American Express: 
Call CyberSym Technologies Monday thru Friday between 9AM and 6PM 
Mountain Daylight Time. Inside the USA and Canada, dial 1-888-223-7796 
(toll-free). Elsewhere dial 1-801-753-8384. Be prepared to provide the 
information requested on the above form.  

Ordering with MasterCard, Visa, Discover, or American Express Card by 
fax, electronic mail or regular mail:  Print or copy and complete the 
above order form. If you are ordering multiple copies of Dynamic Gin, 
please fill in a separate form for each copy, providing the information 
for ordered items and services, Customer Name, Registered User 
Information, and E-mail Notification. Then on one additional form, 
fill in ALL the Customer Information and the total dollar amounts for 
different items and services and TOTAL PAYMENT.  

  Send fax orders to CyberSym Technologies any time - 24 hours a day, 
  seven days a week. Inside the USA and Canada, dial 1-888-223-7796 
  (toll-free). Elsewhere dial 1-801-753-8384. Set your fax machine to 
  dial automatically (instead of manually) so our line switching 
  equipment can route your call correctly.   
 
  Send CompuServe Mail orders to CyberSym Technologies at 70621,3373.

  Send America Online Mail orders to the screen name CyberSym.

  Send Internet e-mail orders to smartsym@cybersym.com. (Note, although 
  we will accept charge card orders by Internet e-mail, we do not at 
  this time recommend this method of ordering for security reasons.) 

  Send orders by regular mail to CyberSym Technologies, Box 127, 
  Providence, UT 84332, USA.

Ordering from our Internet Web Site:  Visit our Web site at 
http://www.cybersym.com. You can order Dynamic Gin and related products 
with MasterCard, Visa, Discover, or American Express Card using our 
secure charge card ordering system. You can also download backdrop 
scenery image collections and the latest versions of Dynamic Gin. With 
all the recent increase in traffic on the World Wide Web, please be 
aware that Web connections don't always work the first time. If you 
don't get a connection to our Web site, try again at a later time.

Ordering through CompuServe's Software Registration Service: 
CompuServe allows you to register shareware and have the charge added 
to your CompuServe bill. To order by this method, log onto CompuServe 
and enter or select GO SWREG. At the first screen select Register 
Shareware. (If you're unfamiliar with the process for registering 
shareware through the SWREG service, you might want to first read the 
instructions by selecting Instructions for Registering Shareware.) You 
can select Dynamic Gin by searching either for the Dynamic Gin title or 
by searching for the Registration ID 11705 (16-bit edition) or 11706 
(32-bit edition). When you have found Dynamic Gin, read the description 
and follow the remaining instructions to register it. Regrettably, 
this service provides no mechanism for you to order program or image 
disks. If you need any of these disks, you'll have to order by one of 
the other methods (we sincerely regret the inconvenience!).

Site Licenses and Group Orders:  If you wish to order multiple copies 
of Dynamic Gin as a club or organization, contact CyberSym Technologies 
at one of the addresses above for group rates.


