Embird Customer Registration Information

Embird Customer Registration Information Please fill in the requested information and submit this form before you add Embird 2010, any plug-in or upgrade to the shopping cart. This information will tell us where to send your registration passwords. If you have previously registered any version of Embird, it will verify your elibility to purchase an upgrade instead of paying full price for registration. We do not give, sell or rent this information to anyone for any purpose. We do share it with the Embird Company. The Embird Company will use your information to verify previous registrations you have purchased, to record your current purchase, and to send you your registration passwords. They will store your information in case you need them to re-send your passwords at some time in the future. All fields marked with a red asterisk (*) are required.
Name *
Prefix
First *
Last *
Suffix
Email: *	Email address where you want your registration passwords delivered.
Confirm *
Have you previously purchased any Embird software? Click the button to select the correct answer. *	This is my first purchase of Embird software. (Must purchase Embird 2017) I registered Embird 6.0 (16-bit) I registered Embird Plus I registered Embird 2003 or 2004 ( I registered Embird 2008 I registered Embird 2012-2016 (No fee required to upgrade.)
Did you ever register Embird software under a different name? *	No. Yes.
Previous name.	If yes, enter your previous name. If no, leave it blank.
Did you ever register Embird software under a different email address? *	No. Yes.
Previous Email:	If yes, enter your previous email. If no, leave it blank.
Your Phone Number: *	For U.S. phones, enter area code and number in this format. (999) 999-9999. For international phones, start with the country code, like this. +999-9999-9999.

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