VB Backup version 1.0
By: David M. Gentils / D & L Tech Services '95

Registration/Order Form

Ordering by check:  To order by check send this order form and
check to:

	David M. Gentils
	239 William Street
	West Haven, Connecticut. 06516
	E-Mail Address via CompuServe: 75543,1402

Payments must be in US dollars drawn on a US bank, or you
can send international postal money orders in US dollars.

VB Backup Single Copy  _________  copies at $10 each = __________
   (Contact me for prices for more than 3 copies)

Connecticut residents add 6% sales tax               	 + __________

Customers outside U.S. add $3.00 shipping & Handling     + __________
			       
				Total payment         =__________

3.5" disks are sent unless a 5.25" disk is requested.

	    Name: _________________________________ Date: ____________

	 Company: ____________________________________________________

	 Address: ____________________________________________________

	City, State, Zip: ____________________________________________________

	 Country: ____________________________________________________


   EMail address: ____________________________________________________

Where did you obtain VB Backup? __________________________________

Comments:

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