Registration Form

    Product:            Site Backgrounds Galore! #1             

    E-mail address:                                                        

    Price:     $5.00   

    Web site that uses backgrounds: 
        	                                                                            

    Comments:









   
   Print the form out, fill in the blanks, and send it to --

   	Shay Fulton
 	1315 North 7th
 	Temple, TX 76501

     Please make checks payable to Shay Fulton.