MY Screen Saver Registration and Order form. (ver 1.0)

  Please check one of the following:

  __ I would like to register my copy of MY Screen Saver......$9.95

  __ Please scan the enclosed photos to be used with 
     MY Screen Saver (multiples of 10).......................$10.00

                                                  Total      $_____
						

  Plesae complete the order form and enclose your check or money 
  order, payable to PersonalWare.

  PersonalWare
  PO BOX 1853
  Ames, IA  50010-1853

  Please PRINT

  NAME: ___________________________________________________

  ADDRESS: ________________________________________________

  ADDRESS: ________________________________________________

  City, State, Zip: _______________________________________


  If you are sending pictures to be scanned, please mark them
  clearly.  Also please read and sign the following:

     I hereby certify that the enclosed photos are my own and I am not 
     violating any Copyright laws by asking PersonalWare to reproduce them 
     electronically to be used strictly in MY Screen Saver program.

     Signature _________________________


  Thank you.