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                      RemindMe 1.02 - Registration Form

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 (When you are registering RemindMe, please include both this form and your
 check or money order to complete the registration process.  Please include
 only this  form -- completely filled out by you and send it to the address
 listed  at the end of  the REMINDME.TXT  documentation file.   Thank you!)


Yes, I would like to register RemindMe and by doing so voice  my support for
OS/2 software development and the Shareware method of software distribution.
With my  registration, I understand that  I am entitled to the  full use  of 
RemindMe and I also  understand that I may  not  release  a similar  or like
product  to RemindMe but  that I  may use the source code in  aiding my  own
programming endeavours.


Name: ______________________________________________________________________

Internet/Compuserve/
or Delphi e-mail address: __________________________________________________
(providers will receive a response upon receipt of their registration and be
added to the official RemindMe mailing list- informing them of new versions)


Street/PO Box: _____________________________________________________________


City: ______________________________________________________________________


State: ____________________________________ Zip: ___________________________


Telephone: (___________)________________________________________



                   _________  # of copies of RemindMe to register

                              X $10.00 per copy registration fee

                  $_________  Total Amount Enclosed (US funds and
                              check or money orders only, please!)


        == Thank you for your supporting RemindMe and Shareware! ==

  (Registering RemindMe registers you for this and ALL future versions of
    the RemindMe product.  Please support Shareware and register today!)