B J Products Registration ----------------------------- Utility Registering (include version number) _____________________________ Please send a complete Registration form for each utility registered. Your Name ______________________________ Company Name ______________________________ (if for private use leave blank) Address ______________________________ ______________________________ ______________________________ -------------------------------------------- | | | Registration: Qty. ___ @ $10ea..._______ | | | -------------------------------------------- Checks or Money Orders only please. Make payable to B J Products. Send completed form to: B J Products 9539 Genesee Ave. #413 San Diego, CA 92121