PCPS V7.80 Registration Form


  Contact Name:_________________________________________________________

  Company/Institute:____________________________________________________

  Contact Address:_________________________________   City:_____________

  State:______________    Country:_________________   Code:_____________

  Phone:______________        Fax:_________________

  Internet Address:_____________________________________________________

  Number of licenses required:     DOS:_____
                                                 (These licenses may be
                                  OS/2:_____      tranferred to any other
                                                  architecture at any time.
                                  UNIX:_____      This is for info only)


   (The total must be correct)   TOTAL:_____


                                               License fee:_____________

                 Add $5 clearance fee if sending US cheque:_____________

                                    Total registration fee:_____________



    All payment should be made payable to "Paul Carapetis" and marked as
    non-negotiable.  Enclose the payment with this form and send it to:

                        PCPS Registration
                        C/- Paul Carapetis
                        MicroSource
                        102 Allister Avenue
                        Knoxfield
                        Australia       3180