Deep 6 Collection Registration Form All fields in italics must be filled in. First Name:____________ Initial: __ Last Name:__________________ Company:_______________________ Title:_____________________ Street Address:____________________________________________ City:____________________ State:_____ Zip Code:_______________ Country:______________ Email Address:________________ Webpage URL:_________________ Telephone Number:_______________________ Please check approiate box  $10 check (US funds only) for Deep 6 collection  $10 US cash for Deep 6 collection* *Make sure you conceal all cash by wrapping it in paper. Where did you get this collection?_________________________________ Do you have any comments?______________________________________ ______________________________________________________________ ______________________________________________________________ Do you have any questions?_______________________________________ ______________________________________________________________ ______________________________________________________________ Do you want information about my other collections yes / no? (circle one) Do you want a certificate signed by me saying you support shareware yes / no? (circle one) Make checks out to Gabe Graff. Shipping and handling is included in cost. Thank you for supporting shareware. Remember the Deep 6 Collection includes 99 desktop patterns, 5 startup screens, and some very cool goodies. If you are interested in a personalized or corprate logo startup screens email me at the below address. I also do webpage design. Email: gabe-larkle@geocities.com Homepage: http://www.geocities.com/SoHo/Lofts/1759 Mail to: Gabe Graff Gabe Soft. Inc. RFD 1 Box#1068 Randolph, NH 03570 USA