REGISTRATION FORM:

Thank you for your interest in . Only the fields with ** MUST be filled out, for the form to be processed.

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You do NOT need to make any payment unless you wish to convert your system to a LIVE CUSTOMER SYSTEM.
This form will entitle you to receive a USER REGISTRATION KEY
The difference between this option and using the DEMONSTRATION VERSION is that
your Company name will appear on all forms and displays. You are also
able to select more than 30 buses to be loaded to the system. THE DEMONSTRATION PERIOD WILL EXTEND FOR 28 DAYS.

This FREE REGISTRATION KEY is only available once per COMPANY or USER or SITE.

** Enter your eMail address :

** Enter your Company Name (this will show on all * screens) :

Enter your Company address line 1 :

Enter your Company address line 2 (if necessary) :

Enter your City / Suburb / PostCode Details :
City :
Suburb : PostCode :
** Enter your Country :

Enter your Phone or mobile number :

**Please enter First / Last name :
Last :
**Please enter your computer PHYSICAL address :
eg 00-A3-D4-D6-ED-01
This is obtained from your system by START / Run / cmd and enter ipconfig /all


** How many buses : > --- and ** how many weeks in your KEY ?

Please select how you would like to manage your REGISTRATION :
----- Register my interest and keep me informed of Updates to software :
----- Send me the FREE REGISTRATION KEY for THIS Company and BusCount ( 4 weeks )
----- Process a LIVE REGISTRATION KEY for me as soon as Impala has cleared payment :

Right-click the mouse -- to print a form and attach to an email to : support@buswise.net
-OR- Click to send above details to Impala/.


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Set up by Impala Distribution and Marketing (R) 1/7/2000 , QLD, Australia.