Sifter Registration Form -

						    Date:_____/_____/______

Cost: $20 US (email delivery)
      $22 US (snailmail delivery to US addressed)	
      $23 US (snailmail delivery to addresses outside the US)

Send To:	Larry Diehl
		4628 W. Northgate Dr. #262
		Irving, TX  75062


Name:__________________________________________________

Address:_______________________________________________

City:____________________________  State:______________

Zip:______________  Country:___________________________


Email:______________@__________________________________
		(Please be sure this is legible!!!)

___ 16 bit		Operating System:______________________

___ 32 bit		CPU:_____________  RAM:________________

Payment Method: ___Cash  ___Check  ___Money Order  

		___Credit card (Visa, Mastercard or American Express)

	Card Number___________________________ Exp Date____/_____

How did you learn of Sifter?:______________________________________________

___________________________________________________________________________

___________________________________________________________________________


Comments, suggestions or requests:_________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________


**The information requested on this form is optional with the exception of 
EMAIL ADDRESS and whether you want 16 or 32 BIT.