To register your copy of Dirman fill out the form below and mail it along with your check for $15.00 to: Ron Weiner 11 Canal Road Levittown, PA 19057 APPLICATION FOR REGISTRATION NAME: ____________________________________________________ COMPANY: ____________________________________________________ TITLE: ________________________________ DATE: ___________ ADDRESS: ____________________________________________________ CITY: _______________________________ STATE: ___________ ZIP CODE: _____________ (COUNTRY:) _________________________ PHONE #: (_____)______________ FAX #: (____)_______________ DISK SIZE REQUIRED (__) 3.5" or (__) 5.25" A diskette with the most recent version of Dirman and several other usefull utilities will be mailed within three days after receipt of your order. V1.40