REGISTRATION FOR DOSCAN V1.04 Please print out this form, sign it and mail it along with your registration payment. Please make payment to: Larry Edwards P.O. Box 3429 Kent, Washington 98032 Please register one copy of "DOSCAN" for each user at your site. DOSCAN Registration Qty. _____ @ $15.00 ea. = ___________ Wash. Residents Add Applicable Sales Tax + ___________ Handling and shipping charge for mailing disk $5.00 + ----------- Total Payment $----------- PAYMENT MUST BE IN US DOLLARS OR YOUR ORDER CAN NOT BE PROCESSED *** MAKE ALL CHECKS PAYABLE TO: LARRY EDWARDS *** Registered users can always get a registered copy of any new version by calling my support BBS, TINKER SOFTWARE BBS, Kent, Wa., (206) 852-7708. To receive your first registered copy please do the following: Wait for 1 week after mailing(hopefully I will have it by then). Call my BBS at (206) 852-7708 or (206) 854-9603. Once on the BBS you will find a message telling you how to download your registered copy. If you wish to have the registered copy mailed to you add $5.00 to cover handling and shipping charges. Once registered, ALWAYS REGISTERED!!! Name: ___________________________________________________ Same name to use on the BBS. Address: _________________________________________________ City, State, Zip: _______________________________________________ COUNTRY: _________________________________________________ Voice Phone: Day ____________________ Eve: ______________ Signature: ______________________Date:____________________ Where did you get your copy of DOSCAN? ____________________ ___________________________________________________________ How do you want the REGISTERED TO line to read? ___________________________________________________________