To register your copy of Dirman fill out the form below and
mail it along with your check for $15.00 to:

                        Ron Weiner
                        11 Canal Road
                        Levittown, PA 19057

                APPLICATION  FOR  REGISTRATION


    NAME:  ____________________________________________________

 COMPANY:  ____________________________________________________

   TITLE:  ________________________________   DATE: ___________

 ADDRESS:  ____________________________________________________

    CITY:  _______________________________   STATE: ___________

ZIP CODE:  _____________   (COUNTRY:) _________________________

 PHONE #:  (_____)______________  FAX #:  (____)_______________

DISK SIZE REQUIRED   (__) 3.5"   or   (__) 5.25"

A diskette with the most recent version will be mailed within 
three days after receipt of your order. 

