Registration Form



Quantity ________  x $ 25.00    =           $  ________

Georgia Residents please add 6% sales tax   $  ________

Total                                       $  ________

Please include a Check or Money Order made payable to MicroWerks. 

We can only accept checks drawn on a US bank and in US funds.



 Name     _______________________________________________

 Company  _______________________________________________

 Address  _______________________________________________
          _______________________________________________
          _______________________________________________

 Phone    _______________________________________________

I have read and agree to abide by the license agreement:

 Signature  _____________________________________________


Where did you get CdBase?  ___________________________

If you received CdBase from a BBS, what is its complete name and 
phone number?___________________________________

_________________________________________________________

Please include any comments or suggestions on the lines which follow.  
Use an additional page if necessary.
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For information about volume discounts, site  licenses, and technical 
questions please contact MicroWerks.

Mail this form to:  MicroWerks
                    P.O. Box 768273
                    Roswell, GA 30076-8273