Individual Registration
-----------------------

SlipTime Vers. 1.00 -- Individual Registration Form


Name: ____________________________________________
Address:_____________________________________________
City: _________________ State: _____________ ZIP: ________
Country (if other than US): ______________________________
Phone number: (_____)_____________________________________

Target INTEL CPU (check all that apply):

__ 386 or better
__ 486 or better
__ Pentium or better


Shipping and Handling (check one):


__ E-mail uuencoded file to:
_______________________________
__ 3 1/2'' DS/DD disks (Shipping and Handling: RSA: R10.00
                        per disk, Overseas $12.00 per disk )


Payment and fees:

Fees are in Rand or in U.S. dollars, payments must made in
in checks or money orders drawn on South African banks. Do not send
cash.
Make checks or money orders payable to:

   Peter Horn
   43 Trevor Road
   Lansdowne 7764
   Republic of South Africa

Pricing for the use of SlipTime, per computer

   One computer at R25 or $15
_________________________________=  ______

Total RSA Shipping and handling (if other than E-
mail or downloading) ...............................______
Total Overseas S&H (if other than E-
mail).............................................. ______

Total:..............................................______

Mail this form together with payment to:

   Peter Horn
   43 Trevor Road
   Lansdowne 7764
   Republic of South Africa