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                        VisionDar
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REGISTRATION FORM

Please e-mail this form with your credit card details to:
	
	Internet: 100274.2607@compuserve.com 
        -or-
	Compuserve: 100274,2607

Or print and return this form with your payment by cash,
check or money order for the amount indicated below to:

    Alotof Software
    P.O. Box 23730
    TEL AVIV 61231       
    ISRAEL

You will be registered and receive your own license number, by fax or e-mail or mail.
You will also be entitled to technical support for 2 years, by fax, e-mail or phone.


    Amount                      Registration Fee:

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    [   ] VisionDar4.0                 $18.00     
                                    

    Total $_______


    Name ________________________________________________

    Company (if applicable) _____________________________

    [ ] Charge my credit card account $__________________
        [ ] MasterCard            [ ] Visa
        [ ] Eurocard              [ ] AMEX

        Account Number ___________________________________
        Expiration Date __________________________________
   
        Signature (if printed) ___________________________

    
    [ ] I enclose my check for $__________________________


        Address _____________________________________________

        City __________________________________ State _______

        Zip _________ Phone ______________ Fax ______________



    [ ] Yes, I want to receive notices about new 
        selections of add-on pictures.

    E-Mail Address ______________________________________

    PC/CPU/Speed ________________________________________

    Display?  [ ]VGA  [ ]SVGA [ ] Other: ________________

    Where Obtained? _____________________________________

    Suggestions/Comments ________________________________

    _____________________________________________________