ARJShell REGISTRATION (c) 1992 BY A KELLETT -- Please print


    NAME:   ______________________________     DISK SIZE: _____ 5.25"/360K
    ( Be sure your name is correct ! )         choose one
    ADDRESS:______________________________                _____ 3.5"/720K

            ______________________________     VERSION YOU HAVE: _______

    CITY:   ______________________________     WHERE    __________________
                                               YOU GOT
    STATE:  ____  ZIP CODE: ______ - _____     IT FROM: __________________

    COUNTRY (IF NOT IN U.S.): ________________          __________________


    REGISTRATION WITH SOURCE CODE:    ___  $15.00  (U.S.)

    REGISTRATION WITHOUT SOURCE CODE: ___  $ 8.00  (U.S.)

    SHIPPING/HANDLING FOR
       FOREIGN ORDERS ONLY            ___  $ 5.00  (U.S.)
    (CANADA NOT CONSIDERED FOREIGN)

                                   $_____ <--**TOTAL AMOUNT DUE HERE**


    ALL ORDERS SHOULD BE RECEIVED IN FOUR TO SIX WEEKS (OF COURSE WE TRY
    TO DO BETTER THAN THAT). ALL PAYMENTS SHOULD BE VIA PERSONAL CHECK OR
    MONEY ORDER PAYABLE IN U.S. DOLLARS.  THANKS FOR YOUR HELP!

    We do not accept credit card or phone orders at this time.  Thanks for
    registering!  If you have specific comments/gripes/suggestions we'd
    appreciate you putting them below, on the back of this sheet, or on
    another sheet if necessary/needed.

    REMARKS: _____________________________________________________________

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                    Thanks to you, shareware works.

    Please mail this along     Andy Kellett
    with your payment to:      Attn: Shareware
                               Route One Box 430B
                               Summerville, GA  30747-9801
                                            U.S.A.