4-Play Registration Form
                       ======================== 
  
  Please enclose a cheque or money order (sorry, I don't accept 
 any credit cards) for $5.00 in U.S. funds, overseas orders must
 send U.S. funds also. Please fill out all the spaces provided 
 and mail it to the address below.
        
        MAKE CHEQUE OR MONEY ORDER PAYABLE TO SEAN BISHOP!!
 ________________________________________________________________
          
        FULL NAME:_______________________________________________
   
   MAILING ADDRESS:  Street address:_____________________________

               City, Province/State:_____________________________

           Country, Postal/ZIP Code:_____________________________

   PHONE NUMBER (Include the area code!):________________________

 _________________________________________________________________
 
             How would you rate 4-Play (circle one): 
           POOR       FAIR       GOOD       EXCELLENT 
             1   2   3   4   5   6   7   8   9   10 
 _________________________________________________________________ 
   
   Please mail this form, along with any additional comments to: 

                           SHORTDOG INC. 
                          241 Eversole St. 
                          Hazard, KY 41701
                          (606) 439-0609