====================================================================== silkmoth plc ====================================================================== The official Y2K screensaver engine v2.03 ====================================================================== To register the official Y2K screensaver engine, fill in the online registration form, which can be accessed at: http://www.y2ksavers.com Click on the 'register' button in the navigation bar and choose the manner in which you wish to send the form. You may also use the following form. Print off this form and either fax it to silkmoth plc on +44 (0)1625 616760 or by mail to: Y2K Registration Silkmoth plc Shaw House Shaw Street Macclesfield Cheshire SK11 6QY UK If you are in an EC country VAT will be added to the purchase price at the current UK rate of 17.5%. If you are a VAT registered company outside the UK please enter your VAT number and country of registration in the form - VAT will not be added. All programs are for IBM PC compatibles (Win3.1/Win95/Win98/WinNT) If you have difficulties, please send email to support@silkmoth.com ====================================================================== ----> .......................................................... <---- The official Y2K screensaver engine V2.03 Registration Form ----------------------------------------------------------- Which version do you wish to register? Product: Amount Register (X) =============================== ================== =================== screensaver engine (Silver) US$ 19.99 [ ] screensaver engine (Gold) US$ 99.99 [ ] screensaver engine (Platinum) US$ 299.99 [ ] Which scene pack(s) do you wish to register? Product: Amount Register (X) =============================== ================== =================== Space scene US$ 10.00 [ ] Computer US$ 10.00 [ ] ====================================================================== YOUR DETAILS: This product will be registered to: [ ] Please enter you name or company Email registration code to: [ ] Contact Phone Number: [ ] (International Format) Please enter a Contact Name: [ ] Your country: [ ] Your VAT registration number [ ] (if applicable) - This is required for exemption from VAT payment ====================================================================== CREDIT CARD DETAILS: Please charge to my Visa/MasterCard (delete as appropriate) Amount: [$ ] Card Number: [ ] Name on Card: [ ] Expiry Date: [ / ] ====================================================================== If you wish to be informed of future product releases by email, please place an X in this box [ ] ====================================================================== DATE: [ ] SIGNED: [ ] ----> .......................................................... <---- NOTE: Your details will be used only for processing your order and no other purpose. They will not be sent to any other company or used in a mailing list.