REGISTRATION FORM - SINGLE COPIES
                       DiaLog version 1.14

-----------------------------------------------------------
                       For Site License
   please write or leave message on CompuServe 76214,1327
-----------------------------------------------------------


(Name to appear on license.  List additional names, for
 additional licenses.)

NAME_______________________________________________________

COMPANY____________________________________________________

STREET_____________________________________________________

CITY_______________________________________________________

STATE_________________________   ZIP_______________________

COUNTRY_______________________   CompuServe________________

TELEPHONE_____________________   FAX_______________________


How did you obtain DiaLog? ________________________________


DiaLog single copy license........USA.....$19.95...________
   Britain _10.90 pounds, Canada  $24.00
   France  108.00 francs,  Germany DM 32.00, Japan 2554.00 yen

Make check or money-order payable to: Wolfgang John

Mail to:

  Wolfgang John
  10920 Portal Rd.
  Atascadero, CA  93422


As a registered user you are entitled to 90 days of free support 
on CompuServe (max on-line time = 30 min) or by mail.  Your 
CompuServe charges are yours, of course.


What program(s) would you like to see developed?