               Ŀ
               Bulletin Displayer Ver. 1.0 Registration Form
               


 Name:                               DO NOT
         EXCEED!
       (print it as you want it to be seen on your registration)


Address: ________________________________________________________________

         ________________________________________________________________

Country: _____________________________     Postal Code: _________________

Tel.   : ____________________________     Tel.  : _______________________
(Home)                                    (Bus.)


     Enclosed within is $____________ in ____________ currency in 

______________________ form.
