
                       REGISTRATION ORDER FORM FOR
                          LOU'S TALKING CLOCK II


        Name:____________________________________________________________

     Address:____________________________________________________________

             ____________________________________________________________

        City:___________________________

       State:___________________________    Zipcode:_____________________

       EMail (optional):________________________________________________

       
       How do you want to receive your registration code(s) (check one):

               Postal Mail:____________   EMail:_______________


       Where did you receive your copy of the program?

       _________________________________________________________________
       
       
       Comments/suggestions: 
        
       _________________________________________________________________

       _________________________________________________________________

       _________________________________________________________________

       _________________________________________________________________

       _________________________________________________________________

        
       Number of copies to register:_______ x $5.00 = __________ (TOTAL)

       (for educational or other institutions ordering over 25 copies,
       send Email to sylfer@eclipse.net or write to the address below 
       for discount information)

       Include check or money order for the total amount above payable to
       LOU FERNANDEZ, and mail to:

                Lou Fernandez
                25 Gerald Ave
                Clifton, NJ 07012

        Thank you for registering your shareware copy of
        Lou's Talking Clock II!
