Atmos Registration Form

ATM Optical Design and Analysis Software
and
ATMOSFRINGE SOFTWARE
by Massimo Riccardi

Product Registration

Only original, registered customers will be eligible for software updates. Fields with an asterisk ( * ) are required fields, all other fields are optional. Note that Astro-Physics Inc. does not sell its customer information lists to outside organizations or individuals; this information is for internal use only.
* First Name
* Last Name
* Address
* City
* State or Province	If you do not live in a state or province please enter N/A
* Country
* Zip or Postal Code
* Day Phone	ie. (555)-555-1234
Evening Phone
Fax
* Primary E-mail
Secondary E-mail
* CD Code	Please enter the code exactly as it appears on the back of your CD case
Where did you hear about ATMOS? (this information is appreciated)
* Which software did you purchase?

Astro-Physics, Inc.
11250 Forest Hills Road, Rockford, IL 61115, U.S.A.
Phone: 815-282-1513 Fax: 815-282-9847