E-Teller Registration Form

Thank you for registering E-Teller.  Your registration entitles you to
free upgrades to every minor release of E-Teller and a $5 rebate on every
major release, e.g. 2.0.  I will NOT mail minor or major releases, but I
will notify you by e-mail for minor and e-mail or snail-mail for every
major release.

Please take a minute to fill out the form below, and send it along with
your registration fee (cheques or money order only, please) to:

	Paul H. Caron
	c/o Mr. J-P Caron
	A10-420 Westmount Ave.
	Sudbury, Ontario  P3A 5V4
	CANADA


Name	____________________________________________________________

Address	____________________________________________________________

City	______________________________ Prov./State _________________

Postal/Zip Code _______________________    Country _________________

E-Mail Address _____________________________________________________


	_______ Version Number

	_______ Number of copies

	_______ @ $15 US ($20 Canadian)

	_______ Enclosed payment


If you have any comments or suggestions, please jot them below: