======================================================
Drastic MPEG Encoder	REGISTRATION FORM
(c) Copyright 1994,1995 Drastic Technologies
======================================================
     
Use this form to register for a commerical release copy of 
DME Version 1.93.  Please mail or Fax the registration form
below along with your Purchase Order and shipping/invoicing details.   


NAME:    ________________________________________________________

COMPANY:  _______________________________________________________

ADDRESS:  _______________________________________________________   

CITY:   ________________________  STATE/PROV:  __________________

ZIP/CODE: _____________________ COUNTRY: ________________________
      
TEL: _________________________   FAX: ___________________________ 
      
MC _ VISA _ AMEX _ NO: _______________________ Expires ____ /____

CARDHOLDER:  ____________________________________________________
      
SIGNATURE:   ___________________________ DATE: _____/_____/______


Drastic Technologies will accept the following methods of payment: 
company cheque, certified cheque, money order, credit card, or C.O.D.
(C.O.D. in Canada and U.S only). 

SPECIAL OFFER: 

Valid until October 31, 1995:  		149.00 U.S.$    
(DME Reference manual included)  


QTY       DESCRIPTION             PRICE                     EXTENSION
 
______    DRASTIC MPEG ENCODER:   $149.00 (U.S. Funds)      _________


Shipping and Handling on all orders:                  
          Canada:                 $10.00 (U.S. Funds)
          United States:          $20.00 (U.S. Funds)
          International:          $30.00 (U.S. Funds)
                                                          + _________

                                                            =========

                                              TOTAL:        _________


For Further Information, Please Contact:

	Drastic Technologies
	37 Kodiak Cres, Unit 6
	Downsview, ON
	M3J 3E5 CANADA

	(FAX) 416 636 4454

	jbrooks@interlog.com