

                                    ENVED
                         Environment Editor for DOS
                                 Version 1.0

                              Registration Form

  To register your copy of ENVED, fill out the following form (PLEASE
  PRINT) and mail it to the address shown below.  Enclose a check or money
  order for the cost of the number of licenses purchased (at $5.95 per
  license), plus $1.00 shipping and handling, payable to:

     Paul M. Parks
     806 Club Place
     Duluth, Georgia 30136-5013

  Please make all payment in U.S. funds only.


             Name: __________________________________________________________

          Company: __________________________________________________________

          Address: __________________________________________________________

                   __________________________________________________________

             City: __________________________________________________________

   State/Province: ___________________________  ZIP/Postal Code: ____________

          Country: __________________________________________________________


     Phone#   Day: ______________________  Evening: _________________________

   E-Mail Address: __________________________________________________________


    # of Licenses: ___________ @ $5.95 per license for total of $____________

                           plus shipping and handling charge of $________1.00

                          Georgia Residents add 5% sales tax of $____________

                                                          TOTAL $____________


  Medium (please check one) 3.5" floppy (1.44MB): _____   (720KB): _____

                            5.25" floppy (1.2MB): _____   (360KB): _____


  Please enclose any comments or suggestions, and thank you for buying ENVED.
