LView Pro 1.9 -- Individual User Registration Form


1. User information:

Name: ___________________________________________________________
Address: ________________________________________________________
City: ___________________ State: _____________ ZIP: _____________
Country (if other than US): _____________________________________
Phone number: (___)______________ Date (MM/DD/YY): ____/____/____
E-mail address (optional): ______________________________________


2. Choice of registered version (check one):

__ 386         Windows 3.1, 16-bit application
__ 486/Pentium Windows 3.1, 16-bit application
__ 486/Pentium Windows 3.1+Win32s/Windows NT, 32-bit application


3. Shipping and Handling (check one):

__ E-mail uuencoded file to: ____________________________________
__ 3 1/2'' DS/DD disk


4. Payment and fees:

Fees are in U.S. dollars, payments must made in in checks 
or money orders drawn on U.S. banks. Payment must be mailed
together with this form. Please, do not send cash. Make checks 
or money orders payable to:

   Leonardo Haddad Loureiro

Check all that apply and fill in the blanks:

__ One registered copy of LView Pro 1.9 or newer...........$30.00
__ U.S. Shipping and handling (if other than E-mail)........$5.00
__ Non U.S. Shipping and handling (if other than E-mail)...$12.00
__ Florida residents add appropriate sales tax.............$_____

Total:.....................................................$_____


5. Mail this form together with payment to:

   Leonardo Haddad Loureiro
   1501 East Hallandale Beach Boulevard, #254
   Hallandale - FL - 33009
   USA