NOTE: If you print this from NOTEPAD, use File/Page Setup to set the Left
      and Right Margins to 0.
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                     ZiPaper v1.3c Registration Form

Name:   ________________________________________________________________

Company:________________________________________________________________

Address:________________________________________________________________

        ________________________________________________________________

City:   ____________________________  State:_____  Zip:_________________

Phone:  (_______)___________________  Country:__________________________

Electronic Mail (Compuserve, etc):______________________________________

Where did you get your copy of ZiPaper from:

__________________________________________________________


ZiPaper registration: $15.00                                $____15.00__
 
      Gets you:  a) Registered
                 b) Latest version on disk
                 c) Small printed manual
                 d) Assorted Wallpaper files (see below)

Disk Size (check one):  

       _____5.25 High Density  <-- best!

       _____5.25 Low Density

       _____3.5  High Density  <-- best!

       _____3.5  Low Density

FREE! Wallpaper Files - compressed with PKZip (check one):

       _____16 color -  24 files (mostly 640x480),          $____FREE___
               totalling over 3.3 megs (uncompressed)
        -or-                                                     -or-

       _____256 color - 6 files (all 640x480),              $____FREE___
                totalling over 1.8 megs (uncompressed)

Want both 16 and 256 color?  Add $4.00           (optional) $___________


Shipping and Handling ($3 US & Canada, $6 elsewhere):       $___________


                                          Total (US Funds): $___________

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Checks must be drawn on a US bank, and payable in US funds.  Canadian
customers may use a Canadian Post Office Money Order - make sure it is in
US funds.

Please make checks payable to:  Daniel Thomas

Send to:      Daniel Thomas
              2301 N. Huron Circle
              Placentia, CA 92670
              (714) 524-5625

              Compuserve: 72301,2164
              Prodigy: CWRF01A