Shareware Registration Form for TALKING TEACHER VERSION 2.0

Please register by sending check or money order in the amount of 
$15(US) per registration along with this completed form to:

        Stephen Rakonza
	PO Box 1782
	Lawrence, KS 66044

If you have a printer select PRINT from the FILE menu, otherwise please
provide all of the following information on a piece of paper.

   Name:_____________________________________________________________

Address:_____________________________________________________________

	_____________________________________________________________

	_____________________________________________________________
Program Title:  _____TALKING TEACHER__________
Program Version:_____VERSION 2.0 _____________
Control Number:	_____W47402 - 0005____________

Where did you hear about the program? _______________________________

Place an 'X' in one box in each column.
	Machine type:	286	[ ]		33 Mhz	[ ]
			386	[ ]		50 Mhz	[ ]
			486	[ ]		66 Mhz	[ ]
			Other:	[ ]________	Other:	[ ]________

Place an 'X' in the boxes of your most used video mode.
	Video mode:	640x480	 [ ]		16 colors  [ ]
			800x600  [ ]		256 colors [ ]
			1024x768 [ ]		32k colors [ ]
			Other:	 [ ]________	Other:	   [ ]________

Sound Card:	Sound Blaster	   [ ]		Thunder Board	   [ ]
		Sound Blaster Pro  [ ]		Pro Audio Spectrum [ ]
		Adlib		   [ ]		None		   [ ]
		Roland MT-32	   [ ]		Other:_____________[ ]
	
CD-ROM Model (if applicable):	____________________________

Age(optional):____________   User's Age(optional):__________

Type of disk preferred: [ ] 3-1/2" HD   [ ] 5-1/4" HD

Quantity ________ X $15 (US)  =  $__________(US)

KS Residents add sales tax    =  $__________

			TOTAL =  $__________