REGISTRATION FORM

MAGIC SOFTWARE, PO BOX 786
UITENHAGE, 6230, SOUTH AFRICA


FIRST NAME         :

LAST NAME          :

ADDRESS            :
                   :
                   :
                   :

REGISTRATION CODE :

PAYMENT METHOD     :

CARD TYPE          : VISA [ ] MASTER CARD [ ] (MARK THE CORRECT ONE)

CARD NUMBER        : _________________________

Please send me the registration code for Magic Menu.
I include $20.00 US or R69.00 RSA for the registration fee.

SIGNATURE          : _____________________________

DATE DD/MM/YY      : ____/____/____


