BusinessCards v4.00 for Windows'95/NT
     Copyright (c) 1993,1994,1995,1996 by Michael Dvorkin
                     All rights reserved.

               R E G I S T R A T I O N   F O R M

Please provide the following information:       ______________
                                                          Date
______________________________________________________________
Your name

_______________________________       ________________________
Street                                City     State/Pr    Zip

_____________    __________________    _______________________
Country          Phone                 E-mail address (if any)

______________________________________________________________
Where did you get BusinessCards/32?

==============================================================
#  Descrpition                         Qty     Price     Total
==============================================================

1. BusinessCards/32 Single Copy:        1   x  $29.95   $_____
2. BusinessCards/32 Site License
         2 to  10 computers:           ___  x  $24.95   $_____
        11 to  25 computers:           ___  x  $19.95   $_____
        26 to  50 computers:           ___  x  $14.95   $_____
        51 to 100 computers:           ___  x   $9.95   $_____
         over 100 computers:                 $1500.00   $_____
     additional Master Disk:           ___  x   $3.00   $_____

3. BusinessDialer/32:                  ___      FREE     FREE
4. BONUS BrainCubes Game:              ___      FREE     FREE
5. Optional LIFETIME FREE upgrades
   plan (add 50%):                                      $_____

6. Shipping and Handling
      USA:                             ___      $3.00   $_____
      Canada/Mexico:                   ___      $4.00   $_____
      International (all other):       ___      $5.00   $_____

   California residents please add 8.15%                $_____
   sales tax:

                         GRAND TOTAL:                   $______

===============================================================
A site license for BusinessCards/32 entitles an organization to 
receive one copy of the distribution package and duplicate the
distribution disk for the specified number of copies.

An optional LIFETIME FREE upgrades plan entitles you to receive 
free registration information (i.e. new serial number) each time 
the new version is released.

Please mail your completed registration form to:

         Michael Dvorkin
         P.O.Box 862
         San Bruno, CA
         94066-0862 USA

Thank you for registering!