
 dpw Designs Software Registration Form
 --------------------------------------

  Please print this form, fill it out, |     dpw Designs
  attach a check or money order ( in   |     Software Registration
  U.S. funds only ) and send it to:    |     P.O. Box 192
                                       |     Norco, CA  92860-0192  USA


  Name ________________________________________________________________

  Address _____________________________________________________________

  City ______________________  State _____  ZIP / Postal Code _________

  Country ____________  User Name __________________________ [required]

  e-mail ___________________________________________________ [required]

  [ NOTE:  To find your User Name, launch the HotSync application on  ]
  [ your device. On Palm OS 3.0 and later devices, it follows the text]
  [ "Welcome". For earlier units, check the upper-right of the screen.]


  Product                          Qty          Price
  ----------------                 ------       ------
  Convert-It!                      [    ]   x   $10.00   =   $ _________

  Lease-It!                        [    ]   x   $10.00   =   $ _________

  Postal Delivery (MS-DOS, 3.5" diskette)        $4.00   =   $ _________
    
                                                       TOTAL $ _________


  ++  Upon receipt of your order, we will e-mail (or mail if requested)
  your registration code to turn off the registration reminder screen.


  We would appreciate your comments:

    How did you hear about us? _________________________________________

    ____________________________________________________________________

    What other products would you like to see from us? _________________

    ____________________________________________________________________

    Additional comments: _______________________________________________
