SlipKnot Version 1.1 Registration Form.
Thank you for deciding to register your copy of SlipKnot.

Please fill out this form ON THE SCREEN, and then print 
it or save it to a file.

If paying by credit card, please press the Help button for 
further information.
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Register to: (your name, not company name)>> 

Organization name (if any)>> 

We need your exact email address to be able to send your 
SlipKnot registration number.

Email address>> 

FAX number (if any, including country code)>>

and your postal address, in case we cannot reach you by email,

Full postal address>> 

Payment type (put a mark in the correct box):
[ ] Check, Money order, International Postal Order
[ ] Credit card -- VISA 
[ ] Credit card -- MasterCard
[ ] Credit card -- American Express

Credit card number>> 
Expiration date>> 
Name on credit card>> 

Signature (if sending by mail or FAX)>>

Where did you hear about SlipKnot?>>


Comments>>


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SlipKnot registration cost is:
US$29.95 for all commercial users 
US$29.95 for non-commercial users in the U.S., Canada, 
         Japan and Western Europe
US$20.00 for non-commercial users NOT in the U.S. or Canada
         or Japabn or Western Europe.

By check, money order or International Postal Order:
Please make payment to: MicroMind, Inc. in U.S. dollars and send to:
    MicroMind, Inc.
    417 W. 120 St., Suite 6B
    New York, N.Y. 10027
    U.S.A.

By credit card: Mail to the address above
or FAX to: (212) 864-0436
or send via email to: slpstaff@pipeline.com