                        Fill It Up v1.10  
			REGISTRATION FORM

Name____________________________________________________________

Address_________________________________________________________

Town_______________________________State_____Zip_________ - ____

Telephone (______) - ________ - ___________E-mail_______________

Where did you find this program?________________________________
 

Note: 	The GRADIENT.BAS file will be sent to you electronically, 
	at the e-mail address above.  If you are unable to 
	receive files electronically, include an additional 
	$2.00 shipping and handling fee.  Updates will be mailed
	only to locations within the continental United States.


Non-Shareware Fill It Up		Amt____X $10.00	$_________
Shipping & Handling			Amt____X $2.00 	$_________
Total enclosed						$_________

Send this completed form along with your payment to:
 
		DARTCY Productions
		PO BOX 714
		Carmel, NY, 10512
		USA
 
Please make checks payable to "DARTCY productions".  All checks
must be drawn on a U.S. bank. Checks or money orders will be 
accepted.  The program will be sent as soon as payment arrives.

Thanks for registering!