DLL Master Order Form

Please register me (us) as a licensed owner of DLL Master:
Name:           ____________________________________________________
Company:        ____________________________________________________
Address:        ____________________________________________________
		____________________________________________________
City:           _______________________ State: ______ Zip: _________
Country:        ___________________
Date:           ___________________

			Fee per copy                            $   25
			CA Tax ($1.81 or $2.06)                 $__________
			S&H  outside N. America $3              $__________
			Check Total (U.S. dollars)              $__________

First acquired or learned about DLL Master from:
    ( ) Friend  ( ) Coworker    ( ) Catalog     
    ( ) Website:______________________________________________
    ( ) BBS:____________________ ( ) Other:___________________
							06-4.2
    Send to:    Shaftel Software
		P.O. Box 12485
		La Crescenta, CA 91224-5485