PJ SOFTWARE ORDER FORM



  Boogie Baby Registration and Order form. (ver 1.2)

  Please check one of the following:

  __ I would like to register my copy of the Boogie Baby Screen Saver..$15.00


                                                  Total      $_____
						

  Please complete the order form and enclose your check or money 
  order, payable to Patrick Johnson.

Patrick Johnson
8730 N. Holly Brook Ave
Tucson,  AZ  85742 

  Please PRINT

  NAME: ___________________________________________________

  ADDRESS: ________________________________________________

  ADDRESS: ________________________________________________

  City, State, Zip: _______________________________________

  E-MAIL: ______________________________________

If you included an E-mail address, the registration information will be returned via E-mail.
 
 Thank you.