Direct Registration Form
version 1.8

Name:

________________________________

Address:

________________________________

________________________________

________________________________

E-mail: (print clearly)

________________________________

______  US $10 - single-user license

______  US $300 - institution site license

______  US $1500 - institution world-wide license

______  US $5 - disk with current version and other shareware & freeware

______  TOTAL

Confirmation will be given by Email only unless explicitly requested.

The address below will probably not be valid after June 1995.  If possible, use e-mail to ask me my current mailing address.  If you do not have e-mail, it would be safer to register indirectly, using the Register application, rather than with this form.

James W. Walker
3200 Heyward Street
Columbia, SC  29205  U. S. A.

You may pay by cash, check, or postal money order.  If you pay by foreign check or cash (no coins, please), use the current exchange rate and add about 5% for handling.