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