                       Funduc Software, Inc. 
            www.funduc.com   www.searchandreplace.com
        V: 734 462-1552  F: 435 921-0900 or 734 462-1886

            Patch Creator Mail & Fax Registration Form

As part of the registration, you will also receive free updates and
customer support (by E-MAIL) for a year.  Updates are sent to
registered customers as they become available.  They incorporate
your suggestions so please send them.  If you have problems
receiving the program or need customer support, contact us directly
by E-MAIL at support@funduc.com.

Purchase Orders? Please see http://www.funduc.com/po_policy.htm or
write support@funduc.com before you submit a PO.

Credit Card Registrations: Several options are available. 

 1) Secure Internet Order: If you have a secure Web browser such
     as Netscape or Internet Explorer, you may register by credit
     card via a secure Web transaction from our web site at:
     http://www.funduc.com.
    
  2) Fax Registration: Complete the form below. Write clearly or
     type for best results. Fax the completed order form to
     435.921.0900 or 734.462.1886. The 435.921.0900 number will
     result in faster service. Faxes to the 734.462.1886 number are
     processed at the end of the business day. Allow 5 days for
     postal deliveries. Write support@funduc.com if you have a
     question about your order.
 
  3) Phone Registrations: Call 734.462.1552 to order using a
     credit card. Please specify that the order is for Patch
     Creator. Phone orders with email delivery are typically
     processed within one business day. Allow 5 days for postal
     deliveries. Write support@funduc.com if you have a question
     about your order.
     
 Ordering by check: Complete the form below. Write clearly or type
     for best results. Send the completed form and a check to
     Funduc Software Inc., P.O. Box 530904, Livonia, MI 48153 USA.
     Payments must be in US dollars drawn on a US bank or
     international postal money order in US dollars. If you send a
     postal money order use some form of registered mail that can
     be traced!  Allow 7-10 days for check processing & postal
     deliveries. Contact support@funduc.com or call 734.462.1552
     if you have a question.



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                 FUNDUC SOFTWARE, INC. FAX/MAIL ORDER

   Complete and print this form.  Fax it to 435.921.0900 (faster)
   or 734.462.1886 or mail the completed form and a check to

                       Funduc Software Inc.
                         P.O. Box 530904
                        Livonia, MI  48153
                          United States

NOTE: Cash/Check payments must be in US dollars drawn on a US
bank, international postal money order in US dollars.

                     (Print clearly or type)
=================================================================
                    PATCH CREATOR FAX/MAIL ORDER

Funduc Part Number: 786-FSP-2754

License             Price ($US)   Quantity       Amount
------------        -----------   --------       ------------

1+ computers        $ 75.00          ________    $________

       Michigan, USA residents add 6% sales tax  $________

Preferred Shipping Method
                          3.5 disk (US) $5 S&H   $________
                    3.5 disk (overseas) $8 S&H   $________
                                    Email (Free) $______0_

                                  Total Payment  $________

---------- Credit Card Information & Card Billing Address ------------

Type: Visa[  ] MasterCard[  ] American Express[  ]  Discover[  ]

    Name on card: __________________________________________________

    Card number:  __________________________________________________

 Expiration date: ____________________________

Authorized Signature: ______________________________________________
                       (As it appears on the back of your card)

            Date: _________________

    Company Name: __________________________________________________
    
  Street Address: __________________________________________________

  Street Address: __________________________________________________

City, State, Zip: __________________________________________________

         Country: ______________________________

---- Your Information (Write "Same" if not different from above) -----

       Your Name: __________________________________________________

  Street Address: __________________________________________________

  Street Address: __________________________________________________

City, State, Zip: __________________________________________________

         Country: ______________________________

Day Phone Number: ______________________________

      Fax Number: ______________________________

  E-MAIL Address: ____________________________________________
                      (example: janedoe@youraddress.com)

=========================================================================

Comments:

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