WinWages v1.0 [01-Jan-94] Shareware Registration Form

Please add me as a registered user of WinWages!  Enclosed you will find the
appropriate registration fee for the option that I have selected below.

Name:             ___________________________________________

Company/Address:  ___________________________________________

                  ___________________________________________

                  ___________________________________________

Telephone Number: ___________________________________________

Internet E-Mail:  ___________________________________________

Registration Options (select one)

__ 1) Registration ID File sent via Internet E-Mail - Fee $5.00

__ 2) Registration ID File sent via U.S. Mail - Fee $6.00

__ 3) Latest registered version of WinWages on floppy disk - Fee $8.00 
         Disk Media for Option #3, select one:   __ 5.25"   __ 3.5"
             (3.5" disk will be sent if no selection is made)

Please send this registration form and your check or money order made
payable to William L. Gerrard in U.S. currency drawn on a U.S. bank to:

                    Digital Daze Software
                    Attn. William L. Gerrard
                    P.O. Box 6511
                    Huntington Beach, CA  92615  U.S.A.

Where did you get WinWages?

__ CompuServe    __ Genie    __ America Online    __ BIX    __ Delphi  

__ Internet Site: ___________________________________________________

__ BBS: (Name) __________________________ (Number) __________________

__ Other: ___________________________________________________________

Please include your comments and/or suggestions about WinWages on the
other side of this form.

                 Thank You for supporting Shareware!