GMS DEVELOPER'S REGISTRATION



  Name:          ...............................


  Address:       ...............................


                 ...............................


                 ...............................


  E-Mail:        ...............................


  Product Name:  ...............................


  User Cost:     $..............................



  Purchase:      1 Developers License at

                   $35NZ  $55NZ  $75NZ  $110NZ  $150NZ  $225NZ

                 (Please circle the correct price as
                  indicated in the licensing file)



If paying by credit card, please fill in the following section:



   Please debit my Visa, Mastercard or Bankcard Number:


   [ | | | ]  [ | | | ]  [ | | | ]  [ | | | ]



   Card Holder:  ...............................


   Expiry Date:  ...............................


   Signed:       ...............................




Send this form back to:


  DW Productions
  8 Chanel Grove
  Lower Hutt
  NEW ZEALAND


Your keyfile and license confirmation will be returned within
1 - 3 weeks of your purchase.