[ m p 3 - e x p l o r e r ] - r e g i s t r a t i o n - f o r m

[ u s e r - i n f o r m a t i o n ]

Last Name : ________________________________________________

First Name : _______________________________________________

Street : ___________________________________________________

City : ___________________________________ ZIP:_____________

State/Prov : ________________ Country : ____________________

Email : ____________________________________________________

How did you hear about MP3 Explorer ? : ____________________

[ r e g i s t r a t i o n - p r i c e ]

[ r e g i s t r a t i o n - k e y - m a i l i n g ]

Send the registration key to :
[ ] the email address mentioned above
[ ] the postal mail address mentioned above

[ p a y m e n t - t e r m s ]

The registration fee is:
[ ] included as cash (US$)
[ ] included as traveller check (US$)