REGISTRATION FORM
                    NotifyMe  version 1.0

____ single user license       @   $19.95 ea    $________

____single server license      @  $299.95 ea    $________

____site license               @  $799.95 ea    $________

____corporate license          @ $1499.95 ea    $________

Shipping/Handling - USA/Canad       $3.00       
Shipping/Handling - Outside USA     $8.00       $________

 Arizona residents please add 7% sales tax:     $________


                               Total            $________

      Diskette size    3½" [ ]   5¼" [ ]

All orders will be send by US mail unless requested otherwise. 
Prices subject to change without notice.


Name:   __________________________________________________

Company:__________________________________________________

Address:__________________________________________________

__________________________________________________________

Where did you obtain NotifyMe ____________________________

Any comments, suggestions or bugs?  

__________________________________________________________

__________________________________________________________

Please make checks payable to:
Michael P. Goguen

MPG Software
P.O. BOX 55376
Phoenix, AZ 85078-5376
mgoguen@netzone.com