Yes, I want to register as a user of HyperPoc 1.12.
After registering I am entitled for one free copy of the HyperPoc user manual
and to use future versions of HyperPoc for free.

Name: _________________________________________

Address: ______________________________________

Town: ____________________________ State: ____   ZIP: ____

Country: ______________________________________


I have obtained HyperPoc through:

	_  an electronic network or bulletin board

	   Please give name of network __________________

	_  through a shareware organisation

	   Please give name of organisation __________________

	_  from a dealer

	_  from a friend

	_  Other

I use HyperPoc for:

	_  business purposes

	   Please indicate nature of business _____________________

	_  personal purposes

	_  as a stack developer


I have added the amount of US$ 35.00 in the form of

	_  a personal cheque (Australia only)

	_  a cheque made payable to an Australian bank

	_  Eurocheque

	_  money order


Signature ____________________________    Date _______________