---print and cut-------------------------------------

TO: Siu Fung Chan
Unit 1208, Wan Loi House,
Wan Tau Tong Tsuen, 
Tai Po, N.T.,
Hong Kong

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	~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
	WebMirror(TM) 1.0 Registration Form
	~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


User Name: _____________________________________

User E-mail: ___________________________________

Address: _______________________________________

City, State, Zip: ______________________________

Country: _______________________________________

Occupation*: ___________________________________


Phone*: ________________ Fax*: _________________


[ ]**	Please add me to your mailing list for upgrade
	and other shareware release information

I am ordering a
[ ] e-mail version costing US$9.50
[ ] floppy disk version costing US$19.50

Check or Money Order Number:

________________________________________________

Bank: __________________________________________

Send me registered WebMirror 1.0 zip file in
[ ]	MIME compliant e-mail with zip attachment
[ ]	SMTP e-mail with UUEncoded zip file
[ ]	other e-mail type
	(may not guarantee delivery)
	Specify: _________________________________

-------------------------------------------------
NOTE: The above fields are very important. Please
double-check to ensure correctness.
-------------------------------------------------

Remark: 
*	Optional information
** 	Please tick in [ ] to select the option