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  1.                            R E G I S T R A T I O N
  2.                            
  3.                            -----------------------
  4.                                    A P P T
  5.                            -----------------------
  6.                              Appointment  Minder
  7.                                 Version  1.21
  8.                                         
  9.  
  10. Name:                   _______________________________
  11.          
  12. Company:                _______________________________
  13.  
  14. Address:                _______________________________
  15.  
  16.                         _______________________________
  17.  
  18. City, State,  Zip:      _______________________________
  19.  
  20. Day Phone:              (_____)________________________
  21.  
  22. Today's Date:           ____/____/____
  23.  
  24. Where did you acquire APPT?________________________________________________
  25.  
  26. ___________________________________________________________________________
  27.  
  28. ____________________________  If BBS, Phone:(_____)__________________
  29.  
  30. Number of copies to register ______ x $10.00 per copy = $____________
  31.                                                        
  32.  
  33. Please make payment to James Corpening.
  34. Send a check or money order (US Dollars, US Bank) to:
  35.  
  36.         James Corpening
  37.         GymusWhere?
  38.         828 NW 79 Terrace
  39.         Plantation, FL  33324-1466
  40.  
  41. Shortly after you register, you will receive instructions to eliminate 
  42. the shareware notice on your copy of APPT.
  43.  
  44. Thank you for your honesty.  Please recycle and don't litter.
  45.  
  46.