SurfSilly Registration & Order Form

Please complete and mail to:

                     Viable Software Alternatives
                     PO Box 98134       
                     Las Vegas, NV  89193-8134

Your REGISTRATION FEE entitles you to:

   * The benefits described in the program
   * Free updates.

SurfSilly Bookmark Bar Registration Fee.................. _$24.00_

  Method of payment: ( ) Check enclosed  ( ) MasterCard  ( ) VISA
 
  Card Number (if applicable)  _________________________  Ex. Date _________

  Signature (if applicable) ________________________________________________

Make checks payable to Viable Software Alternatives.
Orders outside the USA are fine as long as you pay in US funds.

 Disk size:   ( ) 5 1/4" HD     ( ) 3 1/2" DD  ( ) 3 1/2" HD

        Name: __________________________________

     Address: __________________________________

City, ST Zip: __________________________________

Phone number: __________________________________  (for questions)

What kind of computer(s) do you have?
  ( )AT or 80286   ( )386   ( )486



Where did you get your copy of SurfSilly? __________________

What kind of programs would you like us to create?

_______________________________________________________________

Any suggestions?

______________________________________________________________