Novanto Registration Form
-------------------------

If you like the program and wish to own a license to use it, please print out and
mail us this Novanto Registration form and your payment.  All registered users
receive updates via electronic mail.  Please be sure to include your e-mail address.

Send to:

Bill Kearney
P.O.Box 201
Lutherville, MD 21093-0201


Your Name ____________________________________________

Address ______________________________________________

______________________________________________________

City _________________________________________________

State _____  Zip ______________  Country _____________


Computer Preference:  [ ] Mac     [ ] Windows

Important!  Be sure to include these!

e-mail Service ________________________________________

e-mail address ________________________________________  


_________ Quantity of Licenses (ONE per Newton)
	
x  $15.00 Price per License ($15 US/each) for nDIAL

_________ Subtotal	

_________ Maryland Sales Tax (%5 or $.75 ea) - MD residents only.

_________ Disk mailed to you instead of e-mail ($5 shipping & handling fee)

_________ Total Enclosed	

I have read, understand, and agree with the NOVANTO SOFTWARE LICENSE agreement
(your signature is required):


Signature: ________________________________     Date: ___________


(note this document displays best in Courier 10pt or Monaco 9pt)