                         Shareware Registration Form
                         ----------------------------


 Sarasoft Inc.
 2796 Harbor Blvd., Suite #303
 Costa Mesa, CA 92626  USA

 Master Card, Visa & AMEX accepted.

 Please allow 1 week for delivery.

 I would like to register the following (check desired items below):
 Available in 3.5" Media Size Only

 Zaina
 The Complete Fax/Document Management System

 ____ Copy(s) of the Windows 3.X/95/NT3.51 Version   @ $29.95 ea $ _________

 Shipping (Per Item) See rates below             Total Shipping: $ _________
 Domestic Shipping $3.00 Per Copy
 Orders Outside the U.S. $5.00 Per Copy

 CA Residents please add Sales Tax @ 7.75%                    Tax$ _________

                                   Order Total (U.S.Funds Only)  $ _________

                          Payment Information
                          --------------------
 Payment by :    [ ] Check (In U.S. Funds)     [ ] Money Order (In U.S.Funds)
 Credit Card:    [ ] Master Card               [ ] Visa

 Card #: _________________________________ Exp. Date: _______________

 Signature of cardholder: ____________________________________________
                                    SIGNATURE  REQUIRED

                            Ship To Information
              PLEASE -> TYPE Or PRINT To Insure Proper Delivery
            ----------------------------------------------------

 Name:    _________________________________________________________

 Company: _________________________________________________________

 Address: _________________________________________________________

          _________________________________________________________

 City:    _____________________________  ST_____  Zip:_____________

 Country: __________________________________

 Phone#:  _____________ Fax #: _____________  E_Mail: _____________

 Please help us determine the distribution of our software
 Check The Box Below That Most Accurately Describes Where
 You Acquired This Program.
 [ ] - Local BBS                                [ ] - Shareware Catalog
 [ ] - User Group                               [ ] - Software Store
 [ ] - Compuserve                               [ ] - PC SIG Disk
 [ ] - Microsoft Network                        [ ] - America On-Line
 [ ] - A Friend/Business Associate              [ ] - Software Creations BBS

 [ ] - The Internet:Location ____________________________________________

 All of our software is user supported. Please help us by sending your
 comments, suggestions, and changes or additions you would like to
 see in future versions. Please send us a report if you happen to
 find a bug.

 Sarasoft Inc.
 2796 Harbor Blvd., Suite #303
 Costa Mesa, CA 92626  USA

 Fax:    (714) 435-1084
 E-Mail: support@sarasoft.com

