Computer Cuisine™ Registration Form:
(Please Print CLEARLY)

Name:                                                                                             

Address:                                                                                        

City:                                State:               Zip:                                 

Country:                                                                                        

Email Address:                                                                            

Other Email Address:                                                                 

Location         Quantity          Price  (each)        Total

USA                                  X     $5.00          =   $                           

Other                                X     $10.00        =   $                 

For all NON-USA orders:  Please make sure to only pay with US Currency or a Money Order.

Send Payment to:

Computer Cuisine c/o Mike McGee
881 Rosemount Road
Oakland, CA  94610-2408
USA

(Please be sure to include 'Computer Cuisine' on the address).

(When this form is completed & mailed, you will be emailed the registration password, if you do not have an email account, the password can be sent by US Mail.)