INVOICE/REGISTRATION FORM

          Send to:               Irfan Gowani
                                 P.O. Box 40011
                                 Bellevue,  WA 98004

          From:

          FIRST NAME:   ______________________________________

          LAST NAME:    ______________________________________

          ADDRESS1:     ______________________________________

          ADDRESS2:     ______________________________________

          CITY:         ______________________________________

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          Quantity                                                                                        Unit Price
          ________ EditReplay @ Single User Registration Fee: $20.00      
          
                                                       Total: $________
                                   (Make checks payable to Irfan Gowani)		

          Please specify disk size: ___ 5.25" or ___ 3.5"

          Upon receipt of this paid invoice, a registration number 
          will be sent.

          COMMENTS/SUGGESTIONS:
             
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