Online Order Credit Card Information Form
Submit Spider Registration
(our mirrored site at: http://www.site-city.com/spider/ comming soon)

Complete this form and  mail to:

WebStar Software
P.O. Box 399
Lubec, Me.  04652

Name _____________________________________________________

Street ___________________________________________________

City, State ______________________________________________

Zip/Postal Code, Country _________________________________

E-mail Address (very important!) __________________________

Phone (very important!)___________________________________

Fax ______________________________________________________

Version Information

___ Quantities ___ Standard  ___ Professional

Payment:

__ Check Enclosed (Make check's out to: WebStar Media.)

Credit Card Information:

__ Visa   __ MasterCard 

______________________________________________       ___--___
Account Number                                       Exp. Date

______________________________________________ 
Signature

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