--------- MultiMode and MultiMode Lite CHECK / MONEY-ORDER ORDER FORM --------- I would like to register _______ copies of MultiMode at $89.00 apiece Maryland residents please add 6% sales tax. TOTAL AMOUNT ENCLOSED: _______________ in US funds. Please send my registration code to: Name: _________________________________________________________________ Address: ______________________________________________________________ City: ________________________________ State: _________________________ Zip or Postal Code: __________________ Country: _______________________ Email address: ________________________________________________________ Including your email address is VERY important as this is how we will contact you with your registration code. Make checks and money orders out to: Black Cat Systems Mail This Form To: Black Cat Systems 4708 Trail Court Westminster, MD 21158 USA -------------------------------------------------------------------------