HorM v1.00  Order Form
----------------------

Date:___________________

Name:______________________________________________________

Please print your name clearly as your registration number
will be based on it.

Street:_____________________________________________________

       _____________________________________________________

City:____________________  State/Province:__________________

Zip:______________  Country:________________________________

Phone:______________________________________________________


Disk format:  3.5" ____     5.25" ____


Registration ----------------- $15 x quantity ____ = $______

Comments____________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________


Please make out a check or money order to Daniel Otis and
send it along with this completed registration to:

  Daniel Otis
  DSI
  1889 Lindo St.
  Benicia, CA  94510-2315