WinASCII v3.01a Registration Form
---------------------------------

Date:___________________

*Name:______________________________________________________

*Please print your name clearly as your registration number
 will be based on it.

Street:_____________________________________________________

       _____________________________________________________

City:______________________________  State/Province:________ 

Zip:______________

Country:____________________________________________________

Disk format:  3.5" ____     5.25" ____

Registration only ------------ $6  x Quantity ____ = $______

Registration +
Updates (1 year) ------------- $12 x Quantity ____ = $______

Unlimited Site License +
Updates (1 year) --------------------------------- = $250.00

                                         Total order $______

Please make out a check or money order to Daniel Otis and
send it along with this completed registration to:

  Daniel Otis
  WinASCII
  1889 Lindo St.
  Benicia, CA  94510-2315