Full Motion v1.1 CD-ROM for Windows   
                      Registration & Order form

To register for your free CD-ROM via Compuserve:
Go SWREG and enter the ID#6378 for FULLMOTN.ZIP

To register and order via mail:
Please provide the following information:       ______________
                                                          Date
______________________________________________________________
Your name

_______________________________       ________________________
Street                                City     State/Pr    Zip

_____________    __________________      _____________________
Country          Phone                   Fax (optional)

______________________________________________________________
E-mail address(-es) (optional)

______________________________________________________________
Where did you find Full Motion? (optional)

______________________________________________________________
Comments/Suggestions - We love to hear from our customers!

==============================================================
Item                                   Qty     Price     Total
==============================================================
Send me the Full Motion CD with 600MB of video!!
1. Full Motion Video Screen Saver CD   ___  x  $25.00   $_____


Shipping & Handling (International $6)                  $  3
California residents please add 7.75%                   $_____
sales tax:


                         GRAND TOTAL:                   $______
===============================================================

Payment Type: (mark with X)
Check ___     Money Order ___     VISA ___    MasterCard ___

_______________________________________       ________
VISA/MC number                                 Exp Date

_________________________    ________________________________
Name on Credit Card           Signature

If VISA or Mastercard, for faster service you can 
phone in order to (408)446-5718 or mail, e-mail, or fax 
this order form with your card number and expiration 
date. Credit card orders can even be left on the 
voicemail system during off-hours as long as this 
complete information is provided.

===============================================================
Please mail your completed registration form and $$payment$$ to:

Galt Technology  -- Full Motion CD-ROM
14510 Big Basin Way, Suite #195
Saratoga,  CA  95070    USA

or call or fax: (408)446-5718
E-mail: order@galttech.com
Internet: http://www.galttech.com

Thank you for supporting the shareware concept and encouraging 
the future development of other useful and exciting applications!