Mokum Mail Gift Order Form

Mokum Mail Registration.

If you are you a REGISTERED user, who paid for one of the programs LISA, Fetch-It! or a previous version of Mokum Mail, you can purchase Mokum Mail as a gift order for only US $34.90, that is US$ 5 off the regular price! Thank You for bringing us a new customer!

Please, first complete the order form below and click on the 'Send' button. Then click on the PayPal logo.

Payment.
The fastest way to receive your registration is paying by credit card via the Secure PayPal Service. Just click on the PayPal logo to pay by VISA or MasterCard through the PayPal service.

PayPal will result in the fastest delivery of your registered software.

- OR send a cashier's check or money order (no personal checks are accepted) by mail - you will receive directives how and where to send your check.

- OR send cash (AT YOUR OWN RISK) - you will receive directives how and where to send your money.

NOTE:
- If you live in Holland (The Netherlands) then you can send an amount in Euro's equivalent to US$ 34.90 to the 'Postbank' bank account number 38.98.98 in the name of J. Blokker, Amsterdam. Convert currency

- Credit cards can be accepted, via PayPal, see above.

- The Mokum Mail Registration is often used as a birthday present. If this is a Gift Order then also complete the second part of this order form, please.

ORDER FORM

To: Sales@MokumMail.nl I want to register exclusively for my personal use the program "Mokum Mail" at the amount of US$ 34.90. I am aware that the registered version will contain my name and address. I promise that I will not give away the registered program nor will I sell it to anybody or upload it to any Bulletin Board System, Internet Site, Newsgroup, or otherwise distribute the software.
Your E-Mail address :	*
Your full name	*
Your Title	*
Your Date of Birth	Month: * Day: * Year:
Your Home Address	*
Your Town/City	*
Postal / ZIP Code	*
State	*
Country	*
Home Phone	*
Home Page URL
Price	US$ 34.90
Payment
Type here your message to your friend. This text will be sent in our delivery message to your friend.

GIFT ORDER This registration is a gift from you to some one else. Please, complete the following questions.
Send the registered files to: Full name
E-mail address :
Title
Date of Birth	Month: Day: Year:
Home Address
Town/City
Postal / ZIP Code
State
Country
Home Phone
Home Page URL

Thank you for your registration!