Registration form for: (Please, leave below only one Program No.) ---------------------------------------------------------------- Family No.: 190430 X-DBGrid Component Package ------------------------------------------------------------------------------------------------- Program No.: 300073231 X-DBGrid Component 4.2 Standard - 59.90 EURO Program No.: 300073232 X-DBGrid Component 4.2 Professional - 119.90 EURO Program No.: 300073235 X-DBGrid Component 4.2 Standard - Upgrade - 34.90 EURO Program No.: 300073236 X-DBGrid Component 4.2 Professional - Upgrade - 59.90 EURO Program No.: 300073239 X-DBGrid Component 4.2 Professional - Source - 79.90 EURO Program No.: 300073241 X-DBGrid Component 4.2 Professional - Upgrade+Source - 94.90 EURO Family No: 190440 X-Files Components Package ------------------------------------------------------------------------------------------------- Program No.: 300073233 X-Files Components 4.2 Standard - 99.90 EURO Program No.: 300073234 X-Files Components 4.2 Professional - 199.90 EURO Program No.: 300073237 X-Files Components 4.2 Standard - Upgrade - 59.90 EURO Program No.: 300073238 X-Files Components 4.2 Professional - Upgrade - 99.90 EURO Program No.: 300073240 X-Files Components 4.2 Professional - Source - 119.90 EURO Program No.: 300073242 X-Files Components 4.2 Professional - Upgrade+Source - 159.90 EURO Program No.: 300073243 X-Files Components 4.2 Standard - Upgrade+Change - 74.90 EURO Program No.: 300073244 X-Files Components 4.2 Professional - Upgrade+Change - 139.90 EURO Program No.: 300073245 X-Files Components 4.2 Professional - Upgrade+Change+Source - 174.90 EURO Last name: ___________________________________ First name: ____________________________________ Company: ____________________________________ Street and #: ______________________________________ City, State, postal code: ________________________________ Country: _______________________________________ Phone: _____________________________________ Fax: ________________________________________ E-Mail: ______________________________________ How would like to receive the registration key/full version? e-mail - fax - postal mail How would you like to pay the registration fee: credit card - wire transfer - EuroCheque - cash Credit card information (if applicable) Credit card: Visa - Eurocard/Mastercard - American Express - Diners Club Card holder: ________________________________ Card No.: ___________________________________ Date of Expiration : ___________________________________ Date / Signature ___________________________