                           E-Teller 1.1 
                        Registration Form


Thank you for registering E-Teller.  Your registration entitles you
to free upgrades to every minor version of E-Teller and a $5 rebate on
the next major release.  I will NOT mail minor upgrades, but I will 
inform you by e-mail only when an upgrade is uploaded.  Nor will I mail
diskettes of the next major upgrade, but I will notify you either by
e-mail or snail-mail.

Please take a minute to fill out the form below and send it along with
your registration fee (cheques or money orders only, please) to:


   Mr. J-P Caron
   c/o Paul H. Caron
   A10-420 Westmount Avenue
   Sudbury, Ontario  P3A 5V4
   CANADA



Name  ________________________________________________________________


Address  _____________________________________________________________


City  ____________________________________  Province/State ___________


Postal/Zip Code  _________________________  Country  _________________


E-Mail Address _______________________________________________________



   _______ Number of Copies


   _______ @ $15 (U.S. or $20 Canadian)


   _______ Enclosed Payment




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