U20 Screen Saver Registration Form:

Name:             _______________________________________

Address:          _______________________________________

City, State Zip:  _______________________________________

E-mail*           _______________________________________

Check here if you'd like to hear about updates

via Email:  _____


Registration:

     Number of copies:  ___ @ $10 each  Total:  _____

     Number of copies:  ___ @ $0 each (Dues Paid U20 Members)

Disk Sets:

     Number of copies:  ___ @ $5 each   Total:  _____


                               Total Enclosed:  _____



Make checks payable to Michael K. Martin

*Your e-mail address will not be given, sold, traded or
otherwise use to spam you.  The only use will be to inform
you of updates if you so wish.

Please mail registration to:

Michael K. Martin
c/o Richard Martin
12614 St. Charles Blvd.
Little Rock, AR  72211

Free registration my be e-mailed to:

martinmk@sprynet.com

Sorry, I'm just not set up to accept credit card payment.


