=== BusinessCards for Windows v2.1 ===
                           Registration form
               (see README.TXT and help file for details)


Please provide the following information:                ___________
                                                         Date
____________________________________________________________________
Your name

_________________________________        ___________________________
Street                                   City     State/Pr  Zip Code

_____________    __________________      ______________________
Country          Phone                   Fax (optional)

____________________________________________________________________
E-mail address(-es) (optional)

____________________________________________________________________
Where did you find BusinessCards? (optional)


====================================================================
Item                                         Qty     Price     Total
====================================================================

1. BusinessCards for Windows v2.1:           ___  x  $29.95  $______

2. BrainCubes game for Windows:               1       FREE     FREE

3. Updated USA businesses database:           1       FREE     FREE


California residents please add 8.15%                        $______
sales tax:


                         GRAND TOTAL:                        $______
====================================================================

Please mail your completed registration form to:

         Michael Dvorkin
         P.O.Box 862
         San Bruno, CA
         94066-0862 USA

Thank you for supporting the shareware concept and encouraging the
future development of BusinessCards for Windows!