 

                         REGISTRATION FORM  (VIP-72b9)
                         Send $15.  (U.S. Equivalent)
                       ( Business/Government use: $25 )

              DISCOUNT: If you Include a STAMPED return envelope,
                        addressed to yourself, deduct $1.

           Enclose a diskette if you want the latest version, or
           add $5 and I'll supply the diskette with the latest version.
 

       Your name ______________________________________________________

       Address   ______________________________________________________

       City, State, Zip   _____________________________________________

       Company / Gov. name ____________________________________________

       Phone number  (____) _____________________

       Type of computer & Dos Ver._____________________________________

       Where did you obtain VIP-72b9 ? ________________________________

       Amount enclosed:  ________________________

       Enter the name below EXACTLY as you want it registered (PRINT)

       Name >    _______________________________________________________
                    (case sensitive)    (24 character limit)

          Mail to:  AL RICHARDS
                    5201 ASH
                    SHAWNEE MISSION, KANSAS
                    66205-2114
                    USA

        Please add any comments, suggestions below  ( good or bad ) .. .
