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InfiniSource


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Registry First Aid

Mail Registration Form

This form is required for mail purchases by cash, check or money order only..... Please do NOT use this form if you are paying by credit card. To register Registry First Aid by mail you must do two things:

Fill in the brief form below completely and press 'submit' in order to begin the registration process and ensure that you are included on the Registry First Aid mailing list for future free upgrades.
Send your cash, check or money order for $27.95 US to the address at the bottom of this form. DO NOT SEND FOREIGN CURRENCY. NO REGISTRATION WILL BE SENT WITHOUT US CURRENCY.

Note: * fields are required information... if you are from a country where a certain field does not apply, just enter "none"

Registry First Aid Registration Form

*Name:
*Address:
*City:	*St: *Zip:
*Country:
*E-mail:

Computer O/S

Internet Usage

Windows 95
Windows 98
Windows NT
Windows 2000
Windows XP
Windows Vista/7

E-mail
Worldwide Web
IRC
FTP
Streaming audio
Other

If your Windows OS is written in other than English, what language is it?

Please tell us how you heard about this Web site.

Did you encounter any problems with Registry First Aid?

Which features did you find useful and why?

Are there any special new features you would like to see?

Method of payment:
cashcheckmoney ordercredit card

*Date payment mailed:

For those of you who don't wish to use a credit card on-line, you can mail the registration fee of $27.95 US in cash, check or money order to us:

InfiniSource - RFA
PMB #447
3 Monroe Pkwy, Suite P
Lake Oswego, OR 97035 USA

Please be SURE to submit the form above anyway so we have your email address for sending out the registration information.

Upon receipt of your check, you will be sent a registration serial number for Registry First Aid by return e-mail. You MUST fill out the above form, press SUBMIT and print it (if possible) and include your email address with your check.

Thank you for registering Registry First Aid.