NEWTON FITALY ONE-FINGER KEYBOARD ================================= TEXTWARE SOLUTIONS ORDER FORM =============================___________________________________________________________OUR ADDRESS:============Textware Solutions Tel: 781 272 3200 ext 158 Lexington Street Fax: 781 272 1432Burlington, MA 01803-4005 Email: info@twsolutions.comWeb: http://www.twsolutions.com___________________________________________________________PRICING - LICENSING - REGISTERING:==================================The Newton Fitaly is licensed on a per-machine basis. The price for registration on a single-machine is $20. You can download a fully functional time-limited demo version of the Newton Fitaly. This demo version will cease to function after thirty (30) days if not registered. On receipt of payment, we will send you a registration code to unlock the demo version. You can input the code by selecting"Register" from the info button in the Newton Fitaly view. After registration, the software will become a registered version usable without any time limitation on the Newton for which you have registered it. Be sure to include your NewtonID with your registration fee so that we can generate a personal registration code. We can send your registration code by email or by fax, in which case we will also need your email and/or your fax number. Alternatively, we can send your registration code by postal mail together with a diskette for an additional $6. To order, please fill out the following form, print it, and mail it or fax it to us. Alternatively, you can email the form without the credit card information and call 1 800 355-5251 to provide this information by phone. NOTE: This form should be printed using a mono-spaced font, suchas Courier or Monaco.___________________________________________________________YOUR ORDER:===========Newton Fitaly Copies registered by email or fax: _____ copies at $20 each = _________Newton Fitaly Copies on diskette: _____ copies at $26 each = _________Shipping per copy for diskette version: ____ Normal Mail: free Second day Continental US: $10 Overnight Continental US: $20 International Airmail: $10 TOTAL Shipping ___ copies at ___ each = _________ Subtotal: _________ Massachusetts residents add 5% sales tax + _________ ($1.00 per copy for email registration, $1.30 per copy for diskette version) TOTAL PAYMENT ____________________________________________________________________YOUR ADDRESS:============= Email : ________________________________________________ Name: ________________________________________________ Company: ________________________________________________ Address: ________________________________________________ City: _______________________ State ____ Zip: ________ Country: ________________________________________________ Phone: ________________________________________________ Fax: ___________________________________________________________________________________________________________YOUR NEWTONID:============== NewtonID: ___________________________________________________________________________________________________HOW SHOULD WE SEND YOUR REGISTRATION CODE:==========================================Select one of the three options: ( ) By Email ( ) By Fax ( ) By Postal Mail ___________________________________________________________FOR CREDIT CARD PAYMENT: ======================== Card Type: ( ) Visa ( ) MasterCard Credit Card #: ______ ______ ______ ______ Expiration Date: ____/____/ Signature: _______________________________ Date:____/____/________________________________________________________________WHERE DID YOU HEAR ABOUT US:============================____________________________________________________________Please print this order form and fax it or mail it withyour payment to Textware Solutions. We will email, fax,or mail you back your Registration code.____________________________________________________________