Registration for Automail
Print this form and mail or fax to us using the contact information below. If faxing, please write clearly, and as large as possible.

Contact Information
Name _________________________________________
Company _________________________________________
Email (verify spelling!) _________________________________________
Phone Number (        )           -

Initial Setup Information
- you can change this data at any time through an online form
Website your form will be on http://

Package Name

 _________________________________________

Package Size (bytes)

 _________________________________________

Send a notice after each email package is sent?

 Yes    No
Keep a log file? Yes    No
Subject of email to be sent _________________________________________
Page to redirect to after email is sent http://
Page to redirect to on error
in email address		 http://
Text for submit button _________________________________________

Automail Plan Desired

 Monthly plan
      ($10/month + bandwidth fee if high volume)
Yearly Plan
      ($89/year + bandwidth fee if high volume)

Payment Information
Pay By Check (enclose check and mail to address above)
Pay by Credit Card (complete information and sign below)
Credit Card Number __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __
Card Type Visa   MasterCard   Amex   Discover
Name as it appears on card _________________________________________
Expiration Date (mmyy) __ __ - __ __
Billing Street Address (US only) _________________________________________
Billing Zip Code (US Only) _________________________________________

Signature

 _________________________________________
Comments/Questions:

Once you have completed this form, proceed here to view instructions on getting your file to us to be placed on our server.

Fax:      800-536-6951 (Toll Free US), 413-793-7462 (Direct Dial from Outside US)
Email:   scripts@datatrendsoftware.com
Mail:     Datatrend Software
             Automail Setup
             PO Box 80471
             Raleigh, NC 27623 USA