Snippet 5.3 order form.

DO NOT use this form if registering via SWREG.  

** Residents of EEC should send form to:
Patrick J Healey
40 William Bentley Court
Hickman Street
Wednesfield
WOLVERHAMPTON
WV11 1QN
United Kingdom

Registration Payable by: 
Check (in English Pounds, drawn on a British bank) OR
Postal Order in English Pounds OR
Cash (English Pounds only)

Cost:
Registration fee - 12.00 (English Pounds)

Please fill in the following:

Amount Enclosed  ______________________

Address:

NAME	 ___________________________________________________

COMPANY	 ___________________________________________________ 
(If Applicable)

ADDRESS  ___________________________________________________

         ___________________________________________________

	 ___________________________________________________
        
POSTCODE ______________________

COUNTRY	 ______________________

DATE	 __/__/__	   SIGNATURE __________________
		
Send files via: ____ E-MAIL			____ Snail Mail

Disk Type: 3.5" DD only.

E-MAIL ADDRESS ______________________

(Files will be sent via E-MAIL whenever possible.  If you have a Compuserve membership, files will be sent in binary form.  For other E-MAIL delivery, files will be UUEncoded which requires you to have UUDeCoding software available.)

How would you like the Registered Name to appear in Snippet: ______________________

How did you get Snippet __________________________________________ 
