Software Registration Form

To receive technical support and software updates, you must complete this form and send it within 15 days of the date of purchase. You acknowledge that you have read and agree to the terms of the SOFTWARE LICENSE AGREEMENT as it appears in the User's Manual

Please use the following form to enter your personal information.

Name:
Company:
Address:
Address 2:
City:
State:
Zip:
Phone:
Fax:
E-mail:

 

Product Selection

Serial Number:
Version Number:

 


Purchase Information
Use the following forms to enter your purchase information.

Date Purchased:
Purchased From:

 

Business Information
Use the following forms to tell us about your business and application

Number of
Employees

Type of Business

Applications

1
2-10
11-50
51-200
201+
 Retail
Manufacturing
Software Development
Research
Medical
Other		 Point-of-Sale
Inventory
Document Tracking
Identification Cards
Production Control
Other

 

Suggestions/Requests
We would love to hear what you like about the Exeba programs, and what you'd
like to see in future versions. This information is invaluable to the development of
future versions of Exeba. Thank you.

 

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