DISKCAT LABEL ORDER FORM




		 Name:__________________________________________________

		 Address:_______________________________________________

			 _______________________________________________

		    City:_______________________________________________

		   State:_______  Zip: ______________


		 Registration Number: _____________________________



		 Labels are available in lots of 100 to registered users
		 only.  This includes postage.


						   Quantity:  ________

							      x $5.00

					     Total Enclosed:____________



		 Mail To:  J. M. Nerwinski
			   112 Leon Street
			   Durham, NC 27704