REGISTRATION FORM - SINGLE COPIES
                   DiaLog for DOS version 2.11

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                       For Site License
   please write or leave message on CompuServe 76214,1327
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(Name to appear on license.  List additional names, for
 additional licenses.)

NAME_______________________________________________________

COMPANY____________________________________________________

STREET_____________________________________________________

CITY_______________________________________________________

STATE_________________________   ZIP_______________________

COUNTRY_______________________   CompuServe________________

TELEPHONE_____________________   FAX_______________________


How did you obtain DiaLog? ________________________________
(If CServe, which forum?)

DiaLog single copy license........USA.....$18.00...________

  Registered users of DiaLog for Windows version 2.0 pay $12.00

  Foreign country multipliers ($18.00 * .65 pounds = 11.70 pounds): 
   Britain .65 pounds, Canada  1.3, France  5.8 francs,
   Germany 1.7 DM, Japan 125 yen

Make check or money-order payable to: Wolfgang John

Mail to:

  Wolfgang John
  10920 Portal Rd.
  Atascadero, CA  93422

As a registered user you are entitled to 90 days of free support 
on CompuServe (max on-line time = 15 min) or by mail.  Your 
CompuServe charges are yours, of course.


Your comments, suggestions please: