Registration Form for CROSSLAB
       
       
TO:                           FROM:
       
Moroianu George             Name: __________________________________
Str. Serban Voda 288,
Bl.2, sc.C,ap.90,         (Company): __________________________________
Bucharest - Romania      
                           (Title): __________________________________
       
                           Address: __________________________________
Today's
date: ___________       City,State: __________________________________
                                                              Zip Code
                      Phone Number: _________________________
       
Diskette format       3.5" disk 
       
CROSSLAB software. $20.00 per registered Diskette.
       
                          Quantity:          ______
   
                          Total enclosed:    ______
       
       
       Terms:  Check or Money Order drawn on a U.S.A. bank
                 in U.S. funds.
       
* Includes a free upgrade to the next version of the software, when
  available.