-=DEAD PAINT Reg. Form=-         *Version 3.0g
----

Checks or Money Orders please.

Please make checks payable to: >>  Danny w. Leong  <<

Send it to:      Dead Paint (v.3.0)
                 P.O. Box 2341
                 Daly City, CA  94017

To receive a registered copy, please send in $25.00 in U.S. Funds, plus
$3.00 for postage and handling.

For outside United State orders, please send in $5.00 for postage
and handling.

If paid in foreign currency,  please add $4 exchange fee to total, then
convert to the appropiate amount at current exchange rate.

New registration  - [ ] $25.00 + $3.00  U.S. dollars
(Outside U.S.)    - [ ] $25.00 + $5.00  U.S. dollars
                  - [ ] $39.46 + $6.80  Canadian dollars
                  - [ ] $_____________  (specify country and rate)

Upgrade           - [ ] $3.00  U.S. dollars
(Outside U.S.)    - [ ] $5.00  U.S. dollars

Read DP21READ.ME for information on free online upgrade

Disk Size:        - [ ]  5 1/4
                    [ ]  3 1/2

 ALLOW UP TO 30 DAYS FOR THE SHIPPING

Your name: ______________________________________________________________

Address:_________________________________________________________________

City,St,Zip,Country:_____________________________________________________

Phone number (voice):____________________________________________________

BBS name: ________________________ BBS Phone number: ____________________

BBS software:______________________________ Version: ____________________


Comments:________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________


Signature____________________________________   Date:____________________