SOFTWARE REGISTRATION FORM (Please Type or Print Information)

Visit our web site at http://www.mr-wizard.com for secure on-line 
order processing options and current price information.  Or, simply 
complete this form and e-mail, mail, or fax us your request.  
All requests are processed within 48-hours upon receipt.

Software Title (Complete Name):  __________________________________
Registration Price (if known):   __________ + Shipping Charges
Quantity Registering:  ____ (If left blank, 1 copy registered only.)
Shipment:  ___ E-mail  ___ U.S. Mail      Format:  CD Only  

Name:  _________________________________________

Company Name:  ________________________________

Address:  _______________________________________

	  _______________________________________

	  _______________________________________

Phone:    _________________________  FAX #:  ______________________

E-mail Address:   _________________________________________________ 
(Must be provided if requesting shipment via e-mail.)

Payments may be made by personal check, money order, Cashires Check

Please mark method of payment:
      	   Check ___    Money Order ___     Cashires Check ___          

______________________________________________________________________
Questions concerning this registration should be directed to 
Chuck Sinclair via one of the following addresses:

 	  		Chuck Sinclair
			5325 Elkhorn Blvd suite PMB 147
			Sacramento, CA 95842
			Phone #:  (916) 332-7210  
			E-mail:   chuck@mr-wizard.com

Thank you for registering!  	
