Fax / Mail Order Form

To: Airborne Software International

Please forward my copy of Mylog - the Pilot's Computer Logbook for Windows.

Name (as on credit card)__________________________________________________________  Title____________ 

Address: ______________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________      

Tel No:___________________   Fax No:_____________________  *EMail: __________________________________

* Add my name and Email address to Airborne's Pilot's Public Email list   -      Yes / No 
* Please circle you choice.

  Optional items:-   Airline:    ________________________________       Aircraft Type:________________________ 
*If available a photo image of the aircraft type will be added to you logbook

Please bill my credit card for the sum below (Please circle).

 Visa ____ Mastercard ____ Bankcard ____   American Express ____     (Please indicate Card type)

 Card No:  __ __ __ __   \    __ __ __ __   \    __ __ __ __   \    __ __ __ __   \     Expiry Date:____  \   ______ 

Signature: 

Airborne's Fax No: International:  61 2 9871 7496            From within Australia: 02 9871 7496
Airborne Software International, P.O.Box 4843, North Rocks, N.S.W., Australia  2151