Registration form for ICON EYES Version 3.0

Please register by sending check or money order in the amount of 
$12(US) per registration along with this completed form to:

    Applied Logic Engineering
    PO Box 1782
    Lawrence, KS 66044

If you have a printer select PRINT from the FILE menu, otherwise please
provide all of the following information on a piece of paper.

   Name:_____________________________________________________________

Address:_____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________
Program Title:  _____ICON EYES__________
Program Version:_____VERSION 3.0 _____________
Control Number: _____C66044 - 0002____________

Where did you hear about the program? _______________________________

Place an 'X' in one box in each column.
    Machine type:   286 [ ]     33 Mhz  [ ]
                    386 [ ]     50 Mhz  [ ]
                    486 [ ]     66 Mhz  [ ]
                Other:  [ ]________ Other:  [ ]________

Place an 'X' in the boxes of your most used video mode.
    Video mode: 640x480 [ ]         16 colors  [ ]
            800x600     [ ]         256 colors [ ]
            1024x768    [ ]         32k colors [ ]
            Other:      [ ]________ Other:     [ ]________

Sound Card: Sound Blaster   [ ]     Thunder Board       [ ]
        Sound Blaster Pro   [ ]     Pro Audio Spectrum  [ ]
        Adlib               [ ]     None                [ ]
        Roland MT-32        [ ]     Other:_____________ [ ]
    
CD-ROM Model (if applicable):   _____________________________

Age(optional):____________

Compuserve and or Internet address:__________________________

Quantity ________ X $12 (US)  =  $__________(US)

KS Residents add sales tax    =  $__________

                        TOTAL =  $__________