REGISTRATION FORM - SINGLE COPIES
                 DiaLog for Windows version 3.02

(You may optionally register via CompuServe [GO SWREG].  DiaLog
for Windows is listed under ID# 853.  Single copy = $9.00) 

NAME (to appear on license):_______________________________

COMPANY____________________________________________________

STREET_____________________________________________________

CITY_______________________________________________________

STATE_________________________   ZIP_______________________

COUNTRY_______________________   CompuServe________________

TELEPHONE_____________________   FAX_______________________


How did you obtain DiaLog? ________________________________
(If CServe, which forum?)

DiaLog single copy license........USA.....$8.00...________

Registered users of earlier versions may register for $3.00, if
less than 90 days - registration is free.

  Foreign country multipliers ($8.00 * .65 pounds = 5.20 pounds): 
   Britain .65 pounds, Canada  1.3, France  5.8 francs,
   Germany 1.7 DM, Japan 125 yen

Make check or money-order payable to: Wolfgang John

Mail to:

  Wolfgang John
  10920 Portal Rd.
  Atascadero, CA  93422


As a registered user you are entitled to 90 days of free support 
on CompuServe (max on-line time = 15 min) or by mail.  Your 
CompuServe charges are yours, of course.

Your comments, suggestions please: