\NAME
\ADDR

Phone: \PHON
Fax: \FAXN
E-mail: \MAIL


                                To: Binary Software
                                2118 Wilshire Blvd 900
                                Santa Monica, CA 90403, U.S.A.
                                Internet email: sales@binarysoft.com
                                CompuServe email: 74220,3377
                                America Online email: BINARY SW
                                Phone: (800) 8-BINARY (824-6279)
                                or: (310) 449-1481
                                Fax: (800) 555-7217
                                or: (310) 449-1473


\PROG \VERS registration
Date: \DATE
Origin: \ORIG


\COMM

I enclose a check or my credit card number and expiration date.
I'm paying $\COST for one registered copy of the program.


Signature: ________________________________
(not necessary if you call or register by email)