                      VB4Share Registration Form

 MicroWorks, Inc.
 1907 Buck Daniels Road
 Culleoka, TN. 38451 USA

 VB4Share demo program allows you to evaluate the use of the 
 VB4Share code. 
 
 Registration entitles you to receive the VB4Share source code modules
 for royalty free use in your programs.  

 I would like to register VB4Share:
 Available in 3.5" High Density Media Size Only
 ____ Copy(s) of the VB4Share  @ $30.00 ea: 		 $ _________
 Shipping (Per Item) See rates below   
 (Domestic Shipping $3.00 Per Item     Total Shipping:   $ _________
 Orders Outside the U.S. $5.00 Per Item)
 TN Residents please add Sales Tax @ 6%           Tax:   $ _________
                    
                     Order(U.S. Funds Only)     Total:   $ _________
   
 Make checks or money order payable to: MicroWorks, Inc. and
 mail along with this completed form. 
 Ship-To Information  - Type Or Print To Insure Proper Delivery
                  
Name: ________________________________________________________

Company: _____________________________________________________

Address: _____________________________________________________

City: _________________________________  ST_____  Zip:________

Country: _____________________   E-Mail: _____________________

Phone Work: ____________ Eve: _____________ Fax #: ___________

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We accept credit card orders for fast delivery of registered code.
Mail this filled out form to MicroWorks, Inc. or call our order
line at 1-800-381-9176.

[ ] VISA [ ] MasterCard accepted. (Check one)

Card # _____________________________________ Exp. Date ___/___

Name on card _________________________________________________

Signature ____________________________________________________

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Where did you get VB4Share?    Check source below:(Optional)
[ ] - Local BBS                         [ ] - Shareware Catalog
[ ] - User Group                       	[ ] - Compuserve
[ ] - CIS or Other National BBS       	[ ] - MSN
[ ] - Friend                            [ ] - America Online
[ ] - MicroWorks, Inc. Web site         [ ] - ASP CD
[ ] - Other - Please Specify _________________________________

Please send your registration and payment to:

  MicroWorks, Inc.
  1907 Buck Daniels Road
  Culleoka, TN. 38451 USA
  (615) 381-9167 (M-F, 8am-5pm CST)
  WWW Site: http://http://ourworld.compuserve.com/homepages/microwrks
  E-Mail-Internet: jworkswin@aol.com
   America Online: jworkswin 
              MSN: MicroWorks_Inc
       Compuserve: 76743,1333
		