Code|Aero Technologies - ORDER FORM ================================================================ Products ================================================================ [ ] Music Label 2008 - Standard Edition ($49.95) - ID:#17827 [ ] Music Label 2008 - Professional Edition ($69.95) - ID:#17828 [ ] Movie Label 2009 - Standard Edition ($49.95) - ID:#18526 [ ] Movie Label 2009 - Professional Edition ($69.95) - ID:#18527 [ ] Book Label 2007 - Standard Edition ($39.95) - ID:#16052 [ ] Book Label 2007 - Network Edition ($49.95) - ID:#16053 ================================================================ Discount ================================================================ [ ] I am ordering two of your products and want a $15 discount. [ ] I am ordering all three products and want a $30 discount. ================================================================ Distribution ================================================================ [ ] Download/Email at $0 each [ ] U.S. Postal at $9.95 each = $ ______ ================================================================ Customer Information ================================================================ Your Name: ________________________________________________________________ E-Mail Address: ________________________________________________________________ Phone Number: ________________________________________________________________ Mailing Address Street: _____________________________________________________________ City: _____________________________________________________________ State: _____________________________________________________________ Zipcode: _____________________________________________________________ Country: _____________________________________________________________ ================================================================ Credit Card Information ================================================================ THE FOLLOWING INFORMATION IS NEEDED FOR CREDIT CARD ORDERS ONLY: For Credit Card Orders: Type: [ ] Visa, [ ] Mastercard, [ ] American Express, [ ] Discover Account Number: _____________________________________________________________ Expiration Date: _____________________________________________________________ Address credit card bill is sent to (if different than mailing address) Street: _____________________________________________________________ City: _____________________________________________________________ State: _____________________________________________________________ Zipcode: _____________________________________________________________ Country: _____________________________________________________________ I authorize Reg.Net(TM) Internet to bill my credit card and agree to pay the total amount according to my card issuer agreement. ______________________________________________ _______________ Signature Date For ONLINE Orders, point your browser to: http://www.codeaero.com/order.htm For POSTAL MAIL Orders, send to: Reg.Net 755 S. Highway 105 Palmer Lake, CO 80133 U.S.A. For FAX Orders, send to: World: 1 (719) 623-0399 For PHONE Order, call: U.S. (toll-free): 1 (800) 999-2734 International: 1 (719) 576-0123 Contact Code|Aero at support@codeaero.com if you need techincal support. Reg.Net can ONLY handle sales and related questions.