dpw Designs Software Registration Form
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  Please print this form, fill out     |      dpw Designs
  the following items, attach a check  |      Software Registration
  or money order (U.S. funds only) and |      P.O. Box 192
  send to:                             |      Norco, CA  92860-0192  USA


  Name _____________________________________________________

  Address __________________________________________________

  City _________________________  State _____  ZIP _________

  E-mail ___________________________________________________  [required]

  Pilot User Name __________________________________________  [required]

  [ NOTE: If you are not sure of your Palm Pilot User Name (also known ]
  [ as the HotSync ID), launch the HotSync application on your         ]
  [ handheld organizer.  On Palm OS 3.0 and later devices, it follows  ]
  [ the text "Welcome".  On earlier version devices, it is located in  ]
  [ the upper-right corner of the screen                               ]

  Product                          Qty          Price
  ----------------                 ------       ------
  Convert-It!                      [    ]   x   $10.00   =   $ _________

  Lease-It!                        [    ]   x   $10.00   =   $ _________

  Optional Postal Delivery                       $4.00   =   $ _________
    (MS-DOS format, 3.5" diskette)
                                                       TOTAL $ _________

  Upon receipt of your order, you will be sent an e-mail message (or
  optional postal delivery) containing the current version of the
  requested software and a key to turn off the registration reminder.

  We would appreciate your comments:

    How did you hear about us? _________________________________________

    ____________________________________________________________________

    What other products would you like to see from us? _________________

    ____________________________________________________________________

    Additional comments: _______________________________________________