
				            WinButtons Registration


I would like to license  ______copy (s) of Winbuttons at $15 US dollars each.



Name : __________________________________________

Company:________________________________________

Address:_________________________________________

Address:_________________________________________

State:_______  Zip code:____________________________



WinButton Number: _________________________________



Mail completed forms along with registration fee to :

	WinButtons Registration
	POBox 126
	Plainfield,  IN  46168

